# MEENAKSHI M DESAI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821054172
- **Gender:** F
- **Credential:** MD FACS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036053115 | IL | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 02/06/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036053115 | — | IL |
| 01 | — | 109262 | HEALTHLINK | IL |
| 01 | — | 4100079 | BLUE CROSS BLUE SHIELD | IL |