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Individual

DR. CHIRAG V DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3927
Mailing address
10140 CENTURION PARKWAY N, PROVIDER ENROLLMENT DEPARTMENT, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
236110
NY
2084P0800X
Psychiatry Physician
Primary
ME103568
FL

Other

Enumeration date
01/14/2008
Last updated
07/21/2022
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