Deshmukh, Sunita M

Deshmukh, Sunita M is an individual health care provider with primary practice located at 440 Nw Division St , Gresham OR 97030-5506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Deshmukh, Sunita M can be contacted via phone (503) 215-9500.

Contact Information

Primary practice address
440 Nw Division St Gresham OR 97030-5506
Fax: (503) 215-9525
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD23064 Oregon

Profile Details

NPI number 1730133679
LBN Legal business name Deshmukh, Sunita M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Feb 16th, 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 1730133679 NPPES
Oregon MEDICAID 287131

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