Individual
ANISH SUMANT DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7115 GUILFORD DR, SUITE #202, FREDERICK, MD 21704-5236
(301) 663-5922
(301) 663-8292
Mailing address
7115 GUILFORD DR, #202, FREDERICK, MD 21704-5199
(301) 663-5922
(301) 663-8292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101236647
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0067657
MD
207RP1001X
Pulmonary Disease Physician
0101236647
VA
207RP1001X
Pulmonary Disease Physician
Primary
D0067657
MD
207RP1001X
Pulmonary Disease Physician
MD035711
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416381800
—
MD
Enumeration date
05/14/2007
Last updated
12/29/2021
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