Provider Demographics
NPI:1104070515
Name:DEVESH, VARALAKSHMI JHINGADE (MD)
Entity type:Individual
Prefix:DR
First Name:VARALAKSHMI
Middle Name:JHINGADE
Last Name:DEVESH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VARALAKSHMI
Other - Middle Name:
Other - Last Name:JHINGADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2213 ALTERAS DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4471
Mailing Address - Country:US
Mailing Address - Phone:404-384-5444
Mailing Address - Fax:615-445-3022
Practice Address - Street 1:8209 SUTHERLAND LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-5547
Practice Address - Country:US
Practice Address - Phone:404-384-5444
Practice Address - Fax:615-445-3022
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5389207PE0004X
GA64113207Q00000X
390200000X
TN46521207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program