Deshmukh, Avi

Deshmukh, Avi is an individual health care provider with primary practice located at 805 Hill Blvd Ste 106-107 , Granbury TX 76048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Deshmukh, Avi can be contacted via phone (817) 599-3690.

Contact Information

Primary practice address
805 Hill Blvd Ste 106-107 Granbury TX 76048
Phone: (817) 599-3690
Fax: (817) 599-6633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X H1067 Texas

Profile Details

NPI number 1386640415
LBN Legal business name Deshmukh, Avi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jun 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386640415 NPPES
Texas Other 340008824 RAILROAD MEDICARE PROV NO
Texas MEDICAID 101878001 RAILROAD MEDICARE PROV NO
Texas Other 9792483001 RAILROAD MEDICARE PROV NO
Texas Other 814764 RAILROAD MEDICARE PROV NO
Texas Other 4458935 RAILROAD MEDICARE PROV NO
Texas Other 111591100 RAILROAD MEDICARE PROV NO

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