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Individual

DR. SHOBHANA A. DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
THOMAS JEFFERSON UNIVERSITY HOSPITAL, 111 S. 11TH STREET, PHILADELPHIA, PA 19107-4824
(215) 955-6000
(215) 923-9519
Mailing address
NEMOURS CHILDRENS CLINIC, P.O. BOX 404112, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD035125L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01272366
NY
05
2388804
NJ
05
6908918
MD
Enumeration date
12/11/2006
Last updated
05/07/2008
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