Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 43194 | AZ |
N | 208000000X | Pediatrician | 81935-PG PERMIT | AZ |
Y | 2080P0201X | Pediatric Allergist | P12802 | NY |
NPI | 1043487770 |
---|---|
Provider Name | Ms. Deepti R Deshpande |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 08/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
81935 | PG PERMIT NUMBER-ARIZONA MEDICAL BOARD (01) | AZ |
P12802 | NY LIMITED PERMIT LICENSE NUMBER (01) | NY |