Organization
SUVAS G DESAI MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUVAS G DESAI MD (OWNER/PRESIDENT)
(859) 985-8100
Entity
Organization
Contact information
Practice address
1011 PAINT LICK RD, BEREA, KY 40403-9501
(859) 985-8100
(859) 985-8300
Mailing address
PO BOX 424, BEREA, KY 40403-0424
(859) 985-8100
(859) 985-8300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16723
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045887
ANTHEM
KY
01
—
1144216318
NPI INDIVIDUAL
—
01
—
1800196
UNITED HEALTH CARE
—
05
—
64167232
—
KY
05
—
65095440
—
KY
01
—
7182179
AETNA
KY
Enumeration date
11/01/2006
Last updated
03/07/2023
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