Deshpande Healthcare Llc | |
17720 Corporate Woods Dr San Antonio TX 78259-3500 | |
(573) 381-0305 | |
Not Available |
Full Name | Deshpande Healthcare Llc |
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Speciality | Psychiatry & Neurology |
Location | 17720 Corporate Woods Dr, San Antonio, Texas |
Authorized Official Name and Position | Sugandha Bhosrekar (OWNER) |
Authorized Official Contact | 5733810305 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deshpande Healthcare Llc Po Box 591790 San Antonio TX 78259-0139 Ph: () - | Deshpande Healthcare Llc 17720 Corporate Woods Dr San Antonio TX 78259-3500 Ph: (573) 381-0305 |
NPI Number | 1700658572 |
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Provider Enumeration Date | 10/25/2023 |
Last Update Date | 10/15/2024 |
Certification Date | 10/15/2024 |
Medicare PECOS PAC ID | 0749638211 |
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Medicare Enrollment ID | O20231121002921 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700658572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Sugandha Bhosrekar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891100632 PECOS PAC ID: 6204134000 Enrollment ID: I20231121003441 |
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