Individual
RAJIV D. DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 SPRING ST, 1ST FLOOR, SCARBOROUGH, ME 04074-8926
(207) 885-4479
(207) 883-2586
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
014686
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272660099
—
ME
05
—
30200261
—
NH
Enumeration date
06/14/2006
Last updated
04/27/2017
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