Individual
NITA S DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 GETWELL RD, MEMPHIS, TN 38118-2205
(901) 268-8620
(901) 877-7991
Mailing address
PO BOX 17171, MEMPHIS, TN 38187-0171
(901) 877-7897
(901) 877-7991
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
17768
TN
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD0000017768
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079276
—
TN
01
—
P00054180
RAILROAD MEDICARE
TN
Enumeration date
05/20/2006
Last updated
08/24/2022
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