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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386646529 NPPES
Indiana MEDICAID 100157480A
Indiana MEDICAID 200201230

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