Individual
DR. BASAVARAJ VEERANNA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 BRENTWOOD RD STE 101, BAY SHORE, NY 11706
(631) 591-7400
(631) 591-7401
Mailing address
39 BRENTWOOD RD, BAY SHORE, NY 11706-8031
(631) 591-7400
(631) 591-7401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1826741
NY
207RC0000X
Cardiovascular Disease Physician
K5897
TX
Other
Enumeration date
02/22/2006
Last updated
09/04/2019
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