Individual
SHILPA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
590 PINE DR, STE GENEVIEVE, MO 63670-1456
(573) 883-4455
Mailing address
PO BOX 366, STE GENEVIEVE, MO 63670-0366
(573) 883-4477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
106729
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109713
BCBS
MO
01
—
12-09211
UHC
MO
05
—
208722801
—
MO
01
—
336573
HEALTHLINK
MO
01
—
430915730DES
MERCY HEALTH
MO
01
—
54563
HEALTHCARE USA
MO
01
—
5700498
AETNA
MO
01
—
999556
COMMUNITY CARE PLUS
MO
Enumeration date
02/08/2006
Last updated
02/05/2013
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