Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | D46082 | MD |
NPI | 1063517878 |
---|---|
Provider Name | Dr. Neeta S Deshpande |
First Address | Baltimore, MD 21279-0035 |
Second Address | Towson, MD 21204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 19/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
365151700 | (05) | MD |
G04889 | (02) | MD |