Individual
DR. SHASHIN R DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 W EAU GALLIE BLVD, STE 200, MELBOURNE, FL 32935-3166
(321) 255-1500
(321) 254-0400
Mailing address
2200 W EAU GALLIE BLVD, STE 200, MELBOURNE, FL 32935-3166
(321) 255-1500
(321) 254-0400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME58099
FL
207RI0011X
Interventional Cardiology Physician
ME58099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051342300
—
FL
Enumeration date
06/22/2005
Last updated
06/15/2020
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