Individual
SHYAM AMBRISH DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.150324
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
81161
CT
Other
Enumeration date
04/08/2020
Last updated
07/01/2025
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