Individual
CHAITRI DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 471-4553
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 471-4553
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021020561
MO
208000000X
Pediatrics Physician
94-10528
KS
208000000X
Pediatrics Physician
Primary
MD61563958
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
06/17/2024
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