Davis, Desirae Patrice

Davis, Desirae Patrice is an individual health care provider with primary practice located at 2570 Haymaker Rd , Monroeville PA 15146-3513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Davis, Desirae Patrice can be contacted via phone (412) 858-2000.

Contact Information

Primary practice address
2570 Haymaker Rd Monroeville PA 15146-3513
Phone: (412) 858-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD466885 Pennsylvania

Profile Details

NPI number 1740609171
LBN Legal business name Davis, Desirae Patrice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2014
Last updated Nov 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740609171 NPPES
Pennsylvania MEDICAID 103616180
Pennsylvania Other 14500908

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