Desai, Chaitanya Rajendra

Desai, Chaitanya Rajendra is an individual health care provider with primary practice located at 825 W 35Th St , Chicago IL 60609-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Desai, Chaitanya Rajendra can be contacted via phone (773) 890-4330.

Contact Information

Primary practice address
825 W 35Th St Chicago IL 60609-1511
Fax: (773) 890-4540
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036.131408 Illinois

Profile Details

NPI number 1508090234
LBN Legal business name Desai, Chaitanya Rajendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2009
Last updated Jun 27th, 2024 - 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 1508090234 NPPES
Illinois MEDICAID 036131408

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