Provider Demographics
NPI:1043394158
Name:DESHPANDE, SEEMA P (MBBS)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:P
Last Name:DESHPANDE
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 64374
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4374
Mailing Address - Country:US
Mailing Address - Phone:410-328-6331
Mailing Address - Fax:410-328-1674
Practice Address - Street 1:110 S PACA ST
Practice Address - Street 2:SUITE 300, 6TH FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1642
Practice Address - Country:US
Practice Address - Phone:410-328-6331
Practice Address - Fax:410-328-1674
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0065162207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCA8702OtherRAILROAD MEDICARE GROUP
MD1720024235OtherTYPE II NPI
MDP00420578Medicare PIN
MDCA8702Medicare PIN
MD1720024235OtherTYPE II NPI