Organization
INTERNAL MEDICINE,GERIATRICS AND ONCOLOGY GROUP, P.C.
Active
Organization
INTERNAL MEDICINE,GERIATRICS AND ONCOLOGY GROUP, P.C.
Active
Other names
Shreyas A. Desai, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA G NEUMANN (BILLING CLERK)
(219) 464-4786
Entity
Organization
Contact information
Practice address
2640 HAMSTROM RD, PORTAGE, IN 46368-3832
(219) 762-9523
(219) 763-3120
Mailing address
2640 HAMSTROM RD, PORTAGE, IN 46368-3832
(219) 762-9523
(219) 763-3120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01027933A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100157480A
—
IN
05
—
200201230
—
IN
Enumeration date
06/23/2006
Last updated
07/18/2014
Update your record
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