Individual
DR. PRAMTHESH KANTILAL DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 N RIVER ST, SUITE 40, WILKES BARRE, PA 18702-2600
(570) 270-4480
(866) 448-4667
Mailing address
545 N RIVER ST, SUITE 40, WILKES BARRE, PA 18702-2600
(570) 270-4480
(866) 448-4667
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD067122L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019661130002
—
PA
01
—
12315DOL
RENDERING DOCTOR FOR PRIME MED
PA
Enumeration date
05/20/2006
Last updated
04/28/2008
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