Deshpande, Pratibha Amol
Deshpande, Pratibha Amol is an individual health care provider with primary practice located at 818 West Frank Street , Lufkin TX 75904. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Deshpande, Pratibha Amol can be contacted via phone (936) 699-5040.Contact Information
Primary practice address
818 West Frank Street
Lufkin TX 75904
Phone: (936) 699-5040
Fax: (936) 639-8950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | K8738 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K8738 | Texas |
Profile Details
| NPI number | 1164511408 |
|---|---|
| LBN Legal business name | Deshpande, Pratibha Amol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164511408 | NPPES |
| Other | 040579701 | TPI | |
| Other | 8A0024 | TPI | |
| MEDICAID | P08254K05 | TPI |
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