Individual
DR. CHINTAN A DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SAINT PAUL PL, PHYS. OFFICE BLDG., SUITE 409, BALTIMORE, MD 21202-2102
(410) 332-8484
(410) 332-0600
Mailing address
PO BOX 62026, BALTIMORE, MD 21264-2026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0062194
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407555200
—
MD
01
—
KF68/ 646095-01
BC/BS OF MD
MD
01
—
S190/ 0084
BLUE CHOICE
MD
Enumeration date
06/14/2006
Last updated
12/14/2009
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