Desai, Tejas Pradeep

Desai, Tejas Pradeep is an individual health care provider with primary practice located at 2355 W Arlington Blvd Ecu Physicians Nephrology, Greenville NC 27834-2847. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Desai, Tejas Pradeep can be contacted via phone (252) 744-2545.

Contact Information

Primary practice address
2355 W Arlington Blvd Ecu Physicians Nephrology Greenville NC 27834-2847
Phone: (252) 744-2545
Fax: (252) 744-4887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2009-01070 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 235462 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 059062 Georgia

Profile Details

NPI number 1912183179
LBN Legal business name Desai, Tejas Pradeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2008
Last updated Nov 29th, 2011 - about 14 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 1912183179 NPPES
North Carolina Other 154PN BCBSNC
North Carolina Other P00789108 BCBSNC
North Carolina MEDICAID 5913627 BCBSNC

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