Gautam Anil Deshpande, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14365 Issued in HI

Practice address

347 N Kuakini St
Honolulu, HI 96817-2336

Phone

(808) 547-9274

NPI assigned

Mar 20, 2007

Last updated

May 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • Physical Medicine & Rehabilitation Physician
  • Kealakekua, HI
  • NPI 1922174044
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1649395666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WILDER AVE APT 12A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222670",
            "telephone_number": "832-215-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172336",
            "telephone_number": "808-547-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "GAUTAM",
        "middle_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96011",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "14365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Konane M Deryke, OTR
• Deryll U Ambrocio MD Incorporated
• David C. Des Jarlais, MD
• Deza-Rae Desa
• Tushar K Desai, MD
• Heidi Desimone, APRN
• Kaleigh Desimone, PSYD
• Desiree C. Cabinte, PH.D. LLC
• Kathy Desouza, LCSW, CSAC
• Amber Desroches

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.