Individual
SAMIR DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7255 RENNER RD, SHAWNEE, KS 66217-3043
(913) 631-0405
(913) 631-0409
Mailing address
7255 RENNER RD, SHAWNEE, KS 66217-3043
(913) 631-0405
(913) 631-0409
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
04249382
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158200C
—
KS
Enumeration date
08/22/2006
Last updated
04/16/2018
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