MEDICARE: SANGITA DEVESHWAR 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
1	207RC0000X	Cardiovascular Disease Physician	036126640	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	060H264410	OTHER	BLUE CROSS-BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	SD065537	OTHER	CHAMPUS-CHAMPUS
4	SD065537	OTHER	COMMERCIAL-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1710055256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANGITA DEVESHWAR M.D.

Provider Business Mailing Address
First Line	:	1180 N INDIAN CANYON DR STE E319
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4809
Country	:	US
Telephone Number	:	760-325-1203
Fax Number	:	760-325-5485

Provider Business Practice Location Address
First Line	:	1180 N INDIAN CANYON DR STE E319
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4809
Country	:	US
Telephone Number	:	760-325-1203
Fax Number	:	760-325-5485

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

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	10/21/2021

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Directions to “ SANGITA DEVESHWAR M.D.” Practice Location

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