Provider Demographics
NPI:1770712671
Name:DESHPANDE, LEENA (PHARMD)
Entity type:Individual
Prefix:
First Name:LEENA
Middle Name:
Last Name:DESHPANDE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N WOLFE ST
Mailing Address - Street 2:CARNEGIE 180
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0005
Mailing Address - Country:US
Mailing Address - Phone:410-955-2306
Mailing Address - Fax:410-614-8601
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:CARNEGIE 180
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-2306
Practice Address - Fax:410-614-8601
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2012-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0512941261835P0018X
MD203401835P0018X
TX472941835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist