Sunita M Deshmukh, MD
Internal Medicine in Gresham, OR. Individual provider (NPI-1).
NPI number1730133679
StatusActive
Last updated in NPPESFeb 16, 2021
Details
- NPI
- 1730133679
- Entity type
- Individual (NPI-1)
- Name
- Sunita M Deshmukh
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2006
- Certification date
- Feb 16, 2021
- Last updated
- Feb 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD23064 | OR | Yes |
Practice location
440 Nw Division StGresham, OR 97030-5506
Phone 503-215-9500 · Fax 503-215-9525
Mailing address
Po Box 3158Portland, OR 97208-3158
Phone 503-215-6494 · Fax 503-215-6644
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