Individual
ANAND M. DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2551 GREENWOOD RD STE 410, SHREVEPORT, LA 71103-3989
(318) 629-3099
Mailing address
2551 GREENWOOD RD STE 410, SHREVEPORT, LA 71103-3989
(318) 629-3099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
300354
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2331108
—
LA
Enumeration date
05/01/2013
Last updated
06/23/2021
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