Organization
BIREN DESAI MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIREN DESAI MD (PHYSICIAN AND OWNER)
(270) 737-1212
Entity
Organization
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 737-1212
(270) 706-1153
Mailing address
PO BOX 2185, ELIZABETHTOWN, KY 42702-2185
(270) 737-1212
(270) 706-1153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2440912000
PASSPORT ADVANTAGE
—
05
—
65939902
—
KY
Enumeration date
01/20/2007
Last updated
12/22/2008
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