Provider Demographics
NPI:1841200961
Name:DESHPANDE, KEDAR SASHI (MD)
Entity Type:Individual
Prefix:DR
First Name:KEDAR
Middle Name:SASHI
Last Name:DESHPANDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:115 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6358
Mailing Address - Country:US
Mailing Address - Phone:508-362-4411
Mailing Address - Fax:508-362-7936
Practice Address - Street 1:115 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6358
Practice Address - Country:US
Practice Address - Phone:508-383-1525
Practice Address - Fax:508-383-1570
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216521207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA59700OtherFALLON
MA231037OtherHARVARD PILGRIM
MA0030731OtherNEIGHBORHOOD HEALTH PLAN
MA9713573Medicaid
MAJ26306OtherBLUE CROSS BLUE SHEILD
MA7304118OtherAETNA
MA216521OtherTUFTS
MA9713573Medicaid
MA216521OtherTUFTS