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Aashish A Deshpande

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

221 Michigan St NE Ste 400, Grand Rapids, MI 49503-2543

PECOS Enrollment

This provider is enrolled in PECOS as AASHISH DESHPANDE.

Based on the most recent information from CMS, provider Aashish A Deshpande is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:10 AM.

Profile Details

Provider ID
1003915976
Provider Type
Individual
Full Name
Deshpande, Aashish A
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
9/21/2006
Last Updated
3/2/2021

Contact Information

Practice Location

221 Michigan St NE Ste 400, Grand Rapids, MI 49503-2543

(616) 486-9600

Unlisted Fax

Mailing Location

100 Michigan St NE, Mc 845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 4301058252 Michigan
Code 208100000X	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 01046894A Indiana

Aashish A Deshpande

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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