| Krishna B Deshpande, MD | |
|
4995 Bradenton Ave Ste 110, Dublin, OH 43017-3551 | |
| (937) 707-4662 | |
| (614) 573-0530 |
| Full Name | Krishna B Deshpande |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 4995 Bradenton Ave Ste 110, Dublin, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730100413 | NPI | - | NPPES |
| 0363753 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35-041372 (Ohio) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 35041372 (Ohio) | Primary |
| Entity Name | North East Ohio Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
| Entity Name | Columbus Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467239616 PECOS PAC ID: 9234589409 Enrollment ID: O20231229002419 |
| Mailing Address | Practice Location Address |
|---|---|
| Krishna B Deshpande, MD 4995 Bradenton Ave Ste 110, Dublin, OH 43017-3551 Ph: (937) 707-4662 | Krishna B Deshpande, MD 4995 Bradenton Ave Ste 110, Dublin, OH 43017-3551 Ph: (937) 707-4662 |
Tim Chowdhury, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 7211 Sawmill Rd, Suite A, Dublin, OH 43016 Phone: 614-326-0511 | |
Kyle A Smith, NP Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 6397 Emerald Pkwy, Dublin, OH 43016 Phone: 614-383-6450 Fax: 614-383-6455 |