Desai, Shamit Shailendra

Desai, Shamit Shailendra is an sole proprietor health care provider with primary practice located at 1 Ingalls Dr , Harvey IL 60426-3558. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Desai, Shamit Shailendra can be contacted via phone (708) 915-5614.

Contact Information

Primary practice address
1 Ingalls Dr Harvey IL 60426-3558
Phone: (708) 915-5614
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01082448A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT203607 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 036139638 Illinois
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 470981 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 470981 Pennsylvania

Profile Details

NPI number 1285074104
LBN Legal business name Desai, Shamit Shailendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2013
Last updated Jul 16th, 2024 - about 5 months 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 1285074104 NPPES
Indiana MEDICAID 300058984
Indiana MEDICAID 103767757

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