Provider Demographics
NPI:1912698945
Name:DESHMUKH, SHRIYA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:SHRIYA
Middle Name:
Last Name:DESHMUKH
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 W 12TH AVENUE
Mailing Address - Street 2:SUITE 346A
Mailing Address - City:COLUMUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210
Mailing Address - Country:US
Mailing Address - Phone:614-293-9812
Mailing Address - Fax:
Practice Address - Street 1:395 W 12TH AVENUE
Practice Address - Street 2:SUITE 346A
Practice Address - City:COLUMUS
Practice Address - State:OH
Practice Address - Zip Code:43210
Practice Address - Country:US
Practice Address - Phone:614-293-9812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program