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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MITCHELL DESHAZER

Active Sole Proprietor

MITCHELL DESHAZER is a Critical Care Medicine healthcare provider located in JOHNSON CITY, Tennessee. NPI 1023276870 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · JOHNSON CITY, TN

Registration Details

NPI Number
1023276870
Provider Type
Individual
Gender
Male
NPI Issued
May 29, 2008 (18.180487106938 yrs)
Last Updated
Feb 1, 2017
Licenses
N2058 (TX)
N2058 (TX)
7932447-1205 (UT)
51285 (TN)
51285 (TN)
Sole Proprietor
Yes

Practice Information

Address
400 N STATE OF FRANKLIN RD
ROOM 2746
JOHNSON CITY, TN, 376046035
Browse TN providers · Browse ZIP 37604
Phone
4234312727
Fax
4234316715
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Critical Care Medicine
Additional Specialty
Internal Medicine

Other Critical Care Medicine Providers in JOHNSON CITY, TN

Name Credential NPI
BIPIN D SARODIA M.D. 1467444752
MRS. MELISSA S PALAZZO M.D. 1740272020
MS. WENDY K. ZOURAS M.D. 1770539868
NOEL P CURCIO D.O. 1053322172
DR. BADAR SIDDIQUI M.D. 1447679238
DR. NEHA NAITHANI MBBS 1164885893
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.