Individual
SHIVANG DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-7253
(570) 703-8691
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
295160
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD458934
PA
Other
Enumeration date
04/25/2011
Last updated
08/31/2020
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