Individual
CHETAN DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 KIMEL PARK DR, VA OUT-PATIENT CLINIC, WINSTON SALEM, NC 27103-6946
(336) 768-3296
Mailing address
190 KIMEL PARK DR, VA OUT-PATIENT CLINIC, WINSTON SALEM, NC 27103-6946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-00479
NC
Other
Enumeration date
06/20/2007
Last updated
02/03/2010
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