| Praveen Deshmukh, MD | |
|
3615 Nw Samaritan Dr Ste 210, Corvallis, OR 97330-3771 | |
| (541) 768-4501 | |
| Not Available |
| Full Name | Praveen Deshmukh |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 3615 Nw Samaritan Dr Ste 210, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740257468 | NPI | - | NPPES |
| 500701512 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 43578 (Wisconsin) | Secondary |
| 207T00000X | Neurological Surgery | MD176134 (Oregon) | Primary |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Praveen Deshmukh, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Praveen Deshmukh, MD 3615 Nw Samaritan Dr Ste 210, Corvallis, OR 97330-3771 Ph: (541) 768-4501 |
Michael J Malos, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3615 Nw Samaritan Dr Ste 210, Corvallis, OR 97330 Phone: 541-768-4501 | |
Dr. Frank Clifford Roberson, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3615 Nw Samaritan Dr, Suite 210, Corvallis, OR 97330 Phone: 541-768-5210 Fax: 541-768-5211 | |
Dr. Steven K. Goodwin, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3615 Nw Samaritan Dr, Suite 211, Corvallis, OR 97330 Phone: 541-768-4501 Fax: 541-768-4813 | |
Stephen J Mcgirr, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3615 Nw Samaritan Dr Ste 210, Corvallis, OR 97330 Phone: 541-768-4501 | |
Esther Jihae Kim, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3615 Nw Samaritan Dr Ste 210, Corvallis, OR 97330 Phone: 541-768-4501 |