Individual
KARTIK J DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3290 N RIDGE RD, SUITE 100, ELLICOTT CITY, MD 21043-3655
(410) 313-9292
(410) 313-9293
Mailing address
3290 N RIDGE RD, SUITE 100, ELLICOTT CITY, MD 21043-3655
(410) 313-9292
(410) 313-9293
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0062704
MD
207R00000X
Internal Medicine Physician
Primary
D0062704
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4082737 00
—
MD
Enumeration date
01/29/2007
Last updated
03/27/2019
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