Individual
AJIT DESAI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK ROAD, BRAEMER BLDG 2ND FL, PHILADELPHIA, PA 19141
(215) 456-3880
(215) 456-3437
Mailing address
101 EAST OLNEY AVE, 505, PHILADELPHIA, PA 19120
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD033864L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007447100002
—
PA
Enumeration date
03/27/2006
Last updated
07/08/2007
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