Deshmukh, Poornima

Deshmukh, Poornima is an individual health care provider with primary practice located at 901 W Main St , Freehold NJ 07728-2537. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Deshmukh, Poornima can be contacted via phone (732) 294-2875.

Contact Information

Primary practice address
901 W Main St Freehold NJ 07728-2537
Phone: (732) 294-2875
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA07686500 New Jersey
Other Service Providers / Specialist 174400000X 25MA07686500 New Jersey

Profile Details

NPI number 1609821776
LBN Legal business name Deshmukh, Poornima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 2nd, 2021 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609821776 NPPES
New Jersey MEDICAID 00404428

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