Organization
CHIRAG V DESAI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIRAG V DESAI MD (OWNER/AUTHORIZED MEMBER)
(904) 955-8434
Entity
Organization
Contact information
Practice address
9191 R G SKINNER PKWY, JACKSONVILLE, FL 32256-9655
(904) 955-8434
Mailing address
9838 OLD BAYMEADOWS RD, JACKSONVILLE, FL 32256-8101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 103568
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME 103568
FL
Other
Enumeration date
02/18/2016
Last updated
06/02/2016
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