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Individual

SHAILENDRA A DESAI

Active
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Individual

SHAILENDRA A DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA41223
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0022417000
AMERIHEALTH
NJ
01
1163957
HORIZON NJ HEALTH
NJ
05
2149206
NJ
01
300132764
RRMC
NJ
Enumeration date
06/07/2006
Last updated
08/06/2014
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