Individual
DR. PINGAL ANILBHAI DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 W 15TH ST STE 102, LIBERAL, KS 67901-2455
(620) 624-0723
(620) 624-2569
Mailing address
PO BOX 1215, ATTN: CLINIC BILLING OFFICE, LIBERAL, KS 67905-1215
(620) 629-6638
(620) 629-6684
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101252656
VA
207X00000X
Orthopaedic Surgery Physician
S1387
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0439665
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201152140A
—
KS
Enumeration date
06/22/2010
Last updated
01/31/2020
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