Individual
DR. JAYANT B DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
716 MAIDEN CHOICE LN, SUITE 302, BALTIMORE, MD 21228-5943
(410) 788-8264
(410) 788-8254
Mailing address
716 MAIDEN CHOICE LN, SUITE 302, BALTIMORE, MD 21228-5943
(410) 788-8264
(410) 788-8254
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0022417
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020001226
RR MC #
MD
05
—
130551400
—
MD
01
—
41272703
CARE FIRST
MD
01
—
T5260001
CARE FIRST
—
Enumeration date
01/22/2007
Last updated
04/30/2008
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