Girish Ganesh Deshpande in Peoria - Pediatric Critical Care Medicine

Girish Ganesh Deshpande - NPI 1225100977

Girish Ganesh Deshpande is a Pediatric Critical Care Medicine in Peoria, Illinois. Girish Ganesh Deshpande practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Girish Ganesh Deshpande is 1225100977. The last update date is 2008-10-03.

Girish Ganesh Deshpande's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096552250. The mailing address for Girish Ganesh Deshpande is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Girish Ganesh Deshpande
Address 530 Ne Glen Oak Ave, Peoria, Illinois
Phone Number 3096552250
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1225100977
Provider Enumeration Date 2006-11-15
Last Updated Date 2008-10-03

Provider Mailing Address Detail

Address 530 Ne Glen Oak Ave
City Peoria
State Illinois (IL)
Post Code 616370001
Phone Number 3096552250
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Critical Care Medicine
Taxonomy 2080P0203X
Licence No 36109253
Definition:
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36109253 IL --
7215036 IL BCBS

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FAQs about Girish Ganesh Deshpande

What is the unique identifier code issued to Girish Ganesh Deshpande by the Centers for Medicare & Medicaid Services (CMS)?

The Girish Ganesh Deshpande has been assigned the NPI (National Provider Identifier) 1225100977. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Girish Ganesh Deshpande's physical address?

The Girish Ganesh Deshpande is physically located at 530 Ne Glen Oak Ave, in the city of Peoria, IL, with the postal code 616370001.

What is Girish Ganesh Deshpande's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Girish Ganesh Deshpande's specialized field of practice is Pediatric Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0203X.

On what date did the Girish Ganesh Deshpande receive its 1225100977 assignment from the Centers for Medicare & Medicaid Services?

The Girish Ganesh Deshpande was assigned its 1225100977 by the Centers for Medicare & Medicaid Services on 2006-11-15.

When was the information regarding Girish Ganesh Deshpande, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Girish Ganesh Deshpande, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-10-03.

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