Deshmukh, Praveen

Deshmukh, Praveen is an individual health care provider with primary practice located at 3615 Nw Samaritan Dr Ste 210 , Corvallis OR 97330-3771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Deshmukh, Praveen can be contacted via phone (541) 768-4501.

Contact Information

Primary practice address
3615 Nw Samaritan Dr Ste 210 Corvallis OR 97330-3771
Phone: (541) 768-4501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 43578 Wisconsin
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD176134 Oregon

Profile Details

NPI number 1740257468
LBN Legal business name Deshmukh, Praveen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 26th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740257468 NPPES
Oregon MEDICAID 500701512

Popular Providers