Desai, Amish J

Desai, Amish J is an individual health care provider with primary practice located at 501 N Graham St., Suite 200 , Portland OR 97227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Desai, Amish J can be contacted via phone (503) 413-7162.

Contact Information

Primary practice address
501 N Graham St., Suite 200 Portland OR 97227
Phone: (503) 413-7162
Fax: (503) 413-4711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00045340 Washington
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD00045340 Washington
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD169913 Oregon

Profile Details

NPI number 1134282932
LBN Legal business name Desai, Amish J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Feb 1st, 2017 - about 9 years ago

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 1134282932 NPPES
Oregon MEDICAID 500683050
Oregon MEDICAID 8431264
Oregon MEDICAID 1134282932
Oregon Other 0199511

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