Basic Information
| Provider Information | |||||||||
| NPI: | 1700022704 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DESHMUKH | ||||||||
| FirstName: | POOJA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16901 LAKESIDE HILLS CT | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681302318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8555244001 | ||||||||
| FaxNumber: | 4023985589 | ||||||||
| Practice Location | |||||||||
| Address1: | 7500 MERCY RD | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681242319 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4023985880 | ||||||||
| FaxNumber: | 4023985589 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2008 | ||||||||
| LastUpdateDate: | 04/04/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD-39680 | IA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 26324 | NE | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.