| Avi Deshmukh, MD | |
|
805 Hill Blvd Ste 106-107, Granbury, TX 76048 | |
| (817) 599-3690 | |
| (817) 599-6633 |
| Full Name | Avi Deshmukh |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 805 Hill Blvd Ste 106-107, Granbury, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386640415 | NPI | - | NPPES |
| 340008824 | Other | TX | RAILROAD MEDICARE PROV NO |
| 101878001 | Medicaid | TX | |
| 9792483001 | Other | TN | CIGNA PROVIDER NUMBER |
| 814764 | Other | TN | BCBS PROVIDER NUMBER |
| 4458935 | Other | TX | AETNA PROVIDER NUMBER |
| 111591100 | Other | TX | FIRST CARE PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | H1067 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Avi Deshmukh, MD 805 Hill Blvd Ste 106-107, Granbury, TX 76048-1481 Ph: (817) 599-3690 | Avi Deshmukh, MD 805 Hill Blvd Ste 106-107, Granbury, TX 76048 Ph: (817) 599-3690 |
Dr. Christopher T Buchanan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1209 Medical Plaza Ct, Granbury, TX 76048 Phone: 817-573-3272 Fax: 817-573-4626 |