Individual
ANDREA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201
(667) 214-1302
Mailing address
250 W PRATT ST STE 880, BALTIMORE, MD 21201-6829
(667) 214-1302
(410) 328-3379
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
53808
CT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
FD5104702
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2011
Last updated
06/21/2018
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