Individual
TAPAN APURVA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12750 SAINT FRANCIS DR STE 410, CROWN POINT, IN 46307-0264
(219) 769-8340
(219) 769-8341
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01072935A
IN
207RP1001X
Pulmonary Disease Physician
43302
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01072935A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201191530
—
IN
01
—
M47140074
MEDICARE PTAN
IN
01
—
Z141887
MEDICARE PTAN
AZ
Enumeration date
02/04/2009
Last updated
06/27/2025
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