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Individual

KEYUR DESAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1503
(262) 896-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA11822300
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
85313-20
WI
2085R0202X
Diagnostic Radiology Physician
MD480546
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100324072
WI
Enumeration date
07/10/2017
Last updated
09/18/2025
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