Kamalinee Deshpande Md Pa | |
6001 Lux Ln Rockville MD 20852-3501 | |
(301) 493-6866 | |
Not Available |
Full Name | Kamalinee Deshpande Md Pa |
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Speciality | Clinic/Center |
Location | 6001 Lux Ln, Rockville, Maryland |
Authorized Official Name and Position | Kamalinee V Deshpande (PRESIDENT) |
Authorized Official Contact | 3014936866 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kamalinee Deshpande Md Pa 6001 Lux Ln Rockville MD 20852-3501 Ph: (301) 493-6866 | Kamalinee Deshpande Md Pa 6001 Lux Ln Rockville MD 20852-3501 Ph: (301) 493-6866 |
NPI Number | 1033430012 |
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Provider Enumeration Date | 06/14/2010 |
Last Update Date | 06/14/2010 |
Medicare PECOS PAC ID | 0345374807 |
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Medicare Enrollment ID | O20100819000206 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033430012 | NPI | - | NPPES |
185631600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | D0020415 (Maryland) | Primary |
Provider Name | Kamalinee V Deshpande |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1730277054 PECOS PAC ID: 8123152600 Enrollment ID: I20100823000099 |
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