Healthcare Provider Details

I. General information

NPI: 1326386822
Provider Name (Legal Business Name): SHILPA ARUN DESHMUKH M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2013
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 LOON HILL RD
DRACUT MA
01826-4365
US

IV. Provider business mailing address

9 LOON HILL RD FL 3
DRACUT MA
01826-4365
US

V. Phone/Fax

Practice location:
  • Phone: 978-323-0360
  • Fax:
Mailing address:
  • Phone: 978-323-0360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: