Individual
CHITRA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2220
(608) 363-7368
Mailing address
BELOIT HEALTH SYSTEM INC, 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2293
(608) 364-5452
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
69451-20
WI
208000000X
Pediatrics Physician
BP10053052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077522
—
WI
Enumeration date
04/24/2015
Last updated
07/10/2018
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