Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101249486 | VA |
N | 208600000X | Surgeon | 0101249486 | VA |
N | 208200000X | Surgeon | 036135072 | IL |
N | 208600000X | Surgeon | 036135072 | IL |
Y | 208200000X | Surgeon | D78323 | MD |
Y | 208600000X | Surgeon | D78323 | MD |
N | 2086S0129X | Vascular Surgeon | 153224-1 | NY |
N | 2086S0129X | Vascular Surgeon | MD033868L | PA |
NPI | 1124093307 |
---|---|
Provider Name | Dr. Narayan Deshmukh |
First Address | Baltimore, MD 21297-3086 |
Second Address | Frederick, MD 21701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 15/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006851630001 | (05) | PA |
00365191 | (05) | NY |
37342 | (02) | |
770002509 | RR MEDICARE PIN (01) | PA |
CC9269 | RR MEDICARE GROUP (01) | PA |
GU039818 | MEDICARE GROUP (01) | PA |