Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0011X | Interventional Cardiology | N3008 | TX |
Y | 207RI0200X | Infectious Disease | N3008 | TX |
NPI | 1033315171 |
---|---|
Provider Name | Mrs. Devyani V Deshpande |
First Address | Irving, TX 75039 |
Second Address | Irving, TX 75039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 29/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
210443201 | (05) | TX |