Deshmukh, Pramod Madhukar
Deshmukh, Pramod Madhukar is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Deshmukh, Pramod Madhukar can be contacted via phone (570) 888-5858.Contact Information
Primary practice address
1 Guthrie Sq
Sayre PA 18840-1625
Phone: (570) 888-5858
Fax: (570) 887-2882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD042000L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 164983-1 | New York |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD042000L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 164983-1 | New York |
Profile Details
| NPI number | 1548235484 |
|---|---|
| LBN Legal business name | Deshmukh, Pramod Madhukar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jan 12th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548235484 | NPPES |
| Pennsylvania | Other | CC9269 | RR MEDICARE GROUP |
| Pennsylvania | MEDICAID | 01206711 | RR MEDICARE GROUP |
| Pennsylvania | Other | 060060323 | RR MEDICARE GROUP |
| Pennsylvania | Other | GU039823 | RR MEDICARE GROUP |
| Pennsylvania | MEDICAID | 0012135320001 | RR MEDICARE GROUP |
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