MEDICARE: DR. DEVESH DHRUVA KANJARPANE MD MPH

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
1	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	D40076	MD

General Provider Information

NPI Number	:	1548418726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEVESH DHRUVA KANJARPANE MD MPH

Provider Business Mailing Address
First Line	:	6041 WINTER GRAIN PATH
Second Line	:
City	:	CLARKSVILLE
State	:	MD
Zip	:	21029-1224
Country	:	US
Telephone Number	:	301-675-1296
Fax Number	:	443-535-0773

Provider Business Practice Location Address
First Line	:	6041 WINTER GRAIN PATH
Second Line	:
City	:	CLARKSVILLE
State	:	MD
Zip	:	21029-1224
Country	:	US
Telephone Number	:	301-675-1296
Fax Number	:	443-535-0773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2008
Last Update Date	:	06/01/2021

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