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Individual
DR. TEJAS PRADEEP DESAI
Active
Individual
DR. TEJAS PRADEEP DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
235462
NY
207RN0300X
Nephrology Physician
059062
GA
207RN0300X
Nephrology Physician
Primary
2009-01070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154PN
BCBSNC
NC
05
—
5913627
—
NC
01
—
P00789108
RAILROAD MEDICARE
NC
Enumeration date
01/17/2008
Last updated
11/29/2011
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