Shreyas Arvind Desai in Portage - Adult Medicine
Shreyas Arvind Desai - NPI 1386646529
Shreyas Arvind Desai is a Adult Medicine in Portage, Indiana. Shreyas Arvind Desai practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Shreyas Arvind Desai is 1386646529. The last update date is 2016-08-09.
Shreyas Arvind Desai's current location address is 2640 Hamstrom Rd, Portage, Indiana. You can contact this provider via phone number 2197629523 and fax number 2197633120. The mailing address for Shreyas Arvind Desai is 2640 Hamstrom Rd, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shreyas Arvind Desai |
|---|---|
| Address | 2640 Hamstrom Rd, Portage, Indiana |
| Phone Number | 2197629523 |
| Fax Number | 2197633120 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386646529 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2016-08-09 |
Provider Mailing Address Detail
| Address | 2640 Hamstrom Rd |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 4636838320 |
| Phone Number | 2197629523 |
| Fax Number | 2197633120 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 01027933A |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100157480A | IN | -- | |
| 200201230 | IN | -- |
Post Comment/ Review Below
What is the Shreyas Arvind Desai's 1386646529?
The Shreyas Arvind Desai's NPI (National Provider Identifier) Number is 1386646529. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shreyas Arvind Desai?
The Shreyas Arvind Desai is situated at 2640 Hamstrom Rd, in the city of Portage, state of IN, with the zip code 4636838320.
What is the Shreyas Arvind Desai's area of specialization and corresponding taxonomy classification?
The Shreyas Arvind Desai's specialty field is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their specialties.
On what date did the Shreyas Arvind Desai receive its 1386646529 assignment from the Centers for Medicare & Medicaid Services?
The Shreyas Arvind Desai was assigned its 1386646529 by the Centers for Medicare & Medicaid Services on 2005-06-01.
As of what date were the details pertaining to Shreyas Arvind Desai last refreshed?
The information related to the Shreyas Arvind Desai, including its address, specialty, and other relevant details, was last updated on 2016-08-09.
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