MEDICARE: TEJASWINI K DESHMUKH MD

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	2085P0229X	Pediatric Radiology Physician	MD70037029	WA
2	2085R0202X	Diagnostic Radiology Physician	MD70037029	WA
3	2085N0700X	Neuroradiology Physician	MD70037029	WA

General Provider Information

NPI Number	:	1891025722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEJASWINI K DESHMUKH MD

Provider Business Mailing Address
First Line	:	PO BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145-5095
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-520-5000
Fax Number	:

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

Provider Enumeration Date	:	12/25/2009
Last Update Date	:	09/15/2025

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