| Pratibha Deshpande MD PA | |
|
507 Gaslight Blvd Lufkin TX 75904-3127 | |
| (936) 366-8056 | |
| Not Available |
| Full Name | Pratibha Deshpande MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 507 Gaslight Blvd, Lufkin, Texas |
| Authorized Official Name and Position | Pratibha Amol Deshpande (MD) |
| Authorized Official Contact | 9363668056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pratibha Deshpande MD PA 507 Gaslight Blvd Lufkin TX 75904-3127 Ph: (936) 366-8056 | Pratibha Deshpande MD PA 507 Gaslight Blvd Lufkin TX 75904-3127 Ph: (936) 366-8056 |
| NPI Number | 1407445455 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Medicare PECOS PAC ID | 6507270923 |
|---|---|
| Medicare Enrollment ID | O20210127000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407445455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Pratibha a Deshpande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164511408 PECOS PAC ID: 8921197856 Enrollment ID: I20071130000082 |
Michael Hunt Huber MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave Ste 100, Lufkin, TX 75904 Phone: 936-639-2244 Fax: 936-634-9334 |
Jerry L Spinks, MD, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-639-2338 Fax: 936-639-2980 |
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