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NPI Code Detail

MEDICARE: POOJA PRAMOD DESHPANDE

MEDICARE:   POOJA PRAMOD  DESHPANDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist293756CA

General Provider Information

NPI Number : 1861839722
Entity Type Code : Individual
Provider Name (Legal Business Name) : POOJA PRAMOD DESHPANDE
Provider Business Mailing Address
First Line : 3532 ALAMEDA DE LAS PULGAS
Second Line :
City : MENLO PARK
State : CA
Zip : 94025-6510
Country : US
Telephone Number : 650-561-9589
Fax Number :
Provider Business Practice Location Address
First Line : 3532 ALAMEDA DE LAS PULGAS
Second Line :
City : MENLO PARK
State : CA
Zip : 94025-6510
Country : US
Telephone Number : 650-561-9589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2013
Last Update Date : 05/24/2025

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Directions to “ POOJA PRAMOD DESHPANDE ” Practice Location

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