Deshpande, Manjushree Madhav

Deshpande, Manjushree Madhav is an sole proprietor health care provider with primary practice located at 795 El Camino Real Palo Alto Medical Foundation Department Of Family Medi, Palo Alto CA 94301-2302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Deshpande, Manjushree Madhav can be contacted via phone (650) 321-4121.

Contact Information

Primary practice address
795 El Camino Real Palo Alto Medical Foundation Department Of Family Medi Palo Alto CA 94301-2302
Fax: (415) 353-3450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A91105 California

Profile Details

NPI number 1588621668
LBN Legal business name Deshpande, Manjushree Madhav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Feb 11th, 2022 - about 2 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 1588621668 NPPES
California MEDICAID 00A911050

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