Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 01046894A | IN |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301058252 | MI |
NPI | 1003915976 |
---|---|
Provider Name | Dr. Aashish A Deshpande |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Grand Rapids, MI 49503-2543 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 02/03/2021 |