Mrudula Deshpande

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G8078 Issued in TX

Legal business name

MRUDULA DESHPANDE

Practice address

13740 Research Blvd
BLDG. V-1
Austin, TX 78750-1884

Phone

(512) 250-0406

Fax

(512) 250-0531

NPI assigned

Feb 8, 2008

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mrudula Abhay Deshpande, M.D.NPI 1245240647

Title

Pediatrician

Phone

(512) 250-0406

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mrudula Abhay Deshpande, MD

  • Pediatrics Physician
  • Austin, TX
  • NPI 1245240647
  NPD (past) Authorized official

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1821276064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13740 RESEARCH BLVD",
            "address_2": "BLDG. V-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501884",
            "telephone_number": "512-250-0406",
            "fax_number": "512-250-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13740 RESEARCH BLVD",
            "address_2": "BLDG. V-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501884",
            "telephone_number": "512-250-0406",
            "fax_number": "512-250-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRUDULA DESHPANDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "DESHPANDE",
        "authorized_official_first_name": "MRUDULA",
        "authorized_official_middle_name": "ABHAY",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "512-250-0406",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G8078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.