Deshmukh, Madhavi S
Deshmukh, Madhavi S is an individual health care provider with primary practice located at 1600 Delta Waters Rd Suite 107, Medford OR 97504-9114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Deshmukh, Madhavi S can be contacted via phone (541) 858-2515.Contact Information
Primary practice address
1600 Delta Waters Rd Suite 107
Medford OR 97504-9114
Phone: (541) 858-2515
Fax: (541) 858-2514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 010759 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA180692 | Oregon |
Profile Details
| NPI number | 1023165362 |
|---|---|
| LBN Legal business name | Deshmukh, Madhavi S |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023165362 | NPPES |
| Oregon | Other | PA180692 | MEDICAL LICENSE |
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