Deshpande, Abhijit G

Deshpande, Abhijit G is an individual health care provider with primary practice located at 34 Mark West Springs Rd Fl 3 , Santa Rosa CA 95403-1766. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Deshpande, Abhijit G can be contacted via phone (707) 573-5261.

Contact Information

Primary practice address
34 Mark West Springs Rd Fl 3 Santa Rosa CA 95403-1766
Phone: (707) 573-5261
Fax: (707) 573-5414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00033867 Washington
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X C143486 California
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD00033867 Washington
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD00033867 Washington

Profile Details

NPI number 1326018821
LBN Legal business name Deshpande, Abhijit G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jun 19th, 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 1326018821 NPPES
Washington Other 607333500 OWCP/ FECA
Washington Other C143486 OWCP/ FECA
Washington Other P00217647 OWCP/ FECA
Washington Other 545019 OWCP/ FECA
Washington MEDICAID 1116938 OWCP/ FECA

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