Healthcare Provider Details

I. General information

NPI: 1053055640
Provider Name (Legal Business Name): SHWETA RAVINDRA DESHPANDE M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date: 01/18/2023
Reactivation Date: 03/13/2023

III. Provider practice location address

200 LOTHROP ST
PITTSBURGH PA
15213-2536
US

IV. Provider business mailing address

200 LOTHROP ST
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-2523
  • Fax: 412-692-4555
Mailing address:
  • Phone: 412-647-2523
  • Fax: 412-692-4555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD494254
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: