Individual
DR. ISHVER H DESAI
Active
Individual
DR. ISHVER H DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3649479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003649479
BLUE SHIELD, IL
IL
05
—
036049479
—
IL
01
—
111910675
RAIL ROAD MEDICARE PIN
IL
01
—
277330
WELLCARE HMO
IL
01
—
3649479
STATE LICENSE
—
01
—
640
CHICAGO HEALTH SYSTEMS (CHS)
IL
Enumeration date
10/11/2006
Last updated
07/05/2012
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