Individual
NARENDRA G DESAI
Active
Individual
NARENDRA G DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101025154
VA
207R00000X
Internal Medicine Physician
Primary
0101025154
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088861
ANTHEM
VA
01
—
2156
GROUP ID FOR B/C B/S
VA
01
—
4087616
AETNA
VA
01
—
MAMSI
246818
VA
Enumeration date
05/23/2005
Last updated
06/02/2016
Update your record
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