| Prajakta Deshpande, Md | |
|
6800 Lincoln Ave Suite 203 B Buena Park CA 90620-4162 | |
| (714) 252-9150 | |
| (714) 252-9157 |
| Full Name | Prajakta Deshpande, Md |
|---|---|
| Speciality | Family Medicine - Sleep Medicine |
| Location | 6800 Lincoln Ave, Buena Park, California |
| Authorized Official Name and Position | Prajakta Abhijit Deshpande (MD, DIRECTOR) |
| Authorized Official Contact | 7142529150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prajakta Deshpande, Md Po Box 8051 Yakima WA 98908-0051 Ph: (714) 252-9150 | Prajakta Deshpande, Md 6800 Lincoln Ave Suite 203 B Buena Park CA 90620-4162 Ph: (714) 252-9150 |
| NPI Number | 1265830673 |
|---|---|
| Provider Enumeration Date | 12/17/2014 |
| Last Update Date | 12/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265830673 | NPI | - | NPPES |
| 024822 | Other | CA | BL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD133444 (California) | Secondary |
| 207QS1201X | Family Medicine - Sleep Medicine | MD133444 (California) | Primary |
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