Desai, Shailendra A
Desai, Shailendra A is an individual health care provider with primary practice located at 1450 E Chestnut Ave Building 4, Suite A, Vineland NJ 08361-8467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Desai, Shailendra A can be contacted via phone (856) 794-8664.Contact Information
Primary practice address
1450 E Chestnut Ave Building 4, Suite A
Vineland NJ 08361-8467
Phone: (856) 794-8664
Fax: (856) 794-2671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MA41223 | New Jersey |
Profile Details
| NPI number | 1073553152 |
|---|---|
| LBN Legal business name | Desai, Shailendra A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Aug 6th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073553152 | NPPES |
| New Jersey | Other | 0022417000 | AMERIHEALTH |
| New Jersey | MEDICAID | 2149206 | AMERIHEALTH |
| New Jersey | Other | 1163957 | AMERIHEALTH |
| New Jersey | Other | 300132764 | AMERIHEALTH |
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