Organization
WALNUT AVENUE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JITENDRA S DESAI M.D. (OWNER)
(540) 345-6468
Entity
Organization
Contact information
Practice address
16 WALNUT AVE SW, ROANOKE, VA 24016-4719
(540) 345-6468
(540) 345-3204
Mailing address
16 WALNUT AVE SW, ROANOKE, VA 24016-4719
(540) 345-6468
(540) 345-3204
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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