# DR. CHINTAN A DESAI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790728152
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0062194 | MD | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 12/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 407555200 | — | MD |
| 01 | — | KF68/ 646095-01 | BC/BS OF MD | MD |
| 01 | — | S190/ 0084 | BLUE CHOICE | MD |