Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 34.011508 | OH |
N | 208600000X | Surgeon | 34.011508 | OH |
N | 2086S0102X | Surgical Critical Care | 34.011508 | OH |
Y | 2086S0127X | Trauma Surgeon | 34.011508 | OH |
NPI | 1285958611 |
---|---|
Provider Name | Dr. Keshav Deshpande |
First Address | Dublin, OH 43016-4141 |
Second Address | Columbus, OH 43215-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2010 |
Last Update Date | 26/06/2019 |