| Mukund Deshmukh Md Inc Apc | |
|
6143 E Cliffway Dr Orange CA 92869 | |
| (562) 866-1895 | |
| (562) 866-5730 |
| Full Name | Mukund Deshmukh Md Inc Apc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6143 E Cliffway Dr, Orange, California |
| Authorized Official Name and Position | Mukund V Deshmukh (PROVIDER/OWNER) |
| Authorized Official Contact | 7144014127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mukund Deshmukh Md Inc Apc 39702 Kucera Ct Murrieta CA 92563-5402 Ph: (951) 677-0044 | Mukund Deshmukh Md Inc Apc 6143 E Cliffway Dr Orange CA 92869 Ph: (562) 866-1895 |
| NPI Number | 1508967381 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Medicare PECOS PAC ID | 0345463592 |
|---|---|
| Medicare Enrollment ID | O20140516000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508967381 | NPI | - | NPPES |
| 00A517891 | Other | CA | BLUE SHIELD |
| 00A517890 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A051789 (California) | Primary |
| Provider Name | Mukund V Deshmukh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205930377 PECOS PAC ID: 9830268747 Enrollment ID: I20080519000492 |
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