Individual
RAJENDRA SHANTILAL DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1037
(812) 242-3175
(812) 242-3543
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3175
(812) 242-3543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01035315A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089586
ANTHEM
—
01
—
0182868
US DEPT OF LABOR
—
01
—
060004992
RAILROAD MCARE PALAMETTO
—
05
—
100251700
—
IN
01
—
100251700A
MOLINA HEALTHCARE MCAID
IN
01
—
110044260
RAILROAD MEDICARE
IN
01
—
166830
HEALTHLINK
—
01
—
351904269123
CARESOURCE MEDICAID
—
01
—
4062046
AETNA ASSIGNED
—
01
—
I018482D005
UNISYS CHAMPUS SECONDARY
—
01
—
P00844272
RAILROAD MEDICARE
IN
Enumeration date
08/23/2006
Last updated
03/14/2013
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