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Individual

DR. PRIYANK DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0235
(252) 937-3102
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2013-01160
NC
207RP1001X
Pulmonary Disease Physician
Primary
2013-01160
NC
390200000X
Student in an Organized Health Care Education/Training Program
MD.31091
AL
390200000X
Student in an Organized Health Care Education/Training Program
P19906
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316148794
NC
01
181YH
AETNA
NC
01
2246717
BCBS OF NC
NC
01
247302
CIGNA
NC
01
3643901
MEDCOST
NC
01
P01251557
RAILROAD MEDICARE
NC
Enumeration date
05/31/2007
Last updated
03/08/2019
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