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NPI Code Detail

MEDICARE: ANAGHA ABASAHEB DESHMUKH M.D.

MEDICARE: ANAGHA ABASAHEB DESHMUKH M.D.
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
1208M00000XHospitalist PhysicianMD166560OR
2208M00000XHospitalist Physician37783AZ
3207R00000XInternal Medicine PhysicianMD166560OR
4207R00000XInternal Medicine Physician340900NY
5207R00000XInternal Medicine Physician159051CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01633655OTHERORRR MEDICARE (PH&S)-PMG

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265615496
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANAGHA ABASAHEB DESHMUKH M.D.
Provider Business Mailing Address
First Line : 17 LANSING ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1983
Country : US
Telephone Number : 315-255-7011
Fax Number :
Provider Business Practice Location Address
First Line : 17 LANSING ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1983
Country : US
Telephone Number : 315-255-7011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2007
Last Update Date : 01/13/2026

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