Individual
SIMA SURESH DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OP30, PORTLAND, OR 97239-3011
(503) 494-0772
Mailing address
3181 SW SAM JACKSON PARK RD, BTE 119, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD19903
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151170
—
OR
Enumeration date
09/20/2006
Last updated
03/25/2014
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