Desai, Shreyas Arvind
Desai, Shreyas Arvind is an individual health care provider with primary practice located at 2640 Hamstrom Rd , Portage IN 46368-3832. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Desai, Shreyas Arvind can be contacted via phone (219) 762-9523.Contact Information
Primary practice address
2640 Hamstrom Rd
Portage IN 46368-3832
Phone: (219) 762-9523
Fax: (219) 763-3120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 01027933A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01027933A | Indiana |
Profile Details
| NPI number | 1386646529 |
|---|---|
| LBN Legal business name | Desai, Shreyas Arvind |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Aug 9th, 2016 - about 8 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 | 1386646529 | NPPES |
| Indiana | MEDICAID | 100157480A | |
| Indiana | MEDICAID | 200201230 |
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