Individual
DR. SHAUN CHANDRA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE STE 3600S, HAWTHORNE, NY 10532-2186
(914) 693-7636
Mailing address
19 BRADHURST AVE STE 3600S, HAWTHORNE, NY 10532-2186
(914) 693-7636
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
2014008229
MO
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
343382
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
D79917
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097422600
—
MD
Enumeration date
06/18/2009
Last updated
05/11/2026
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