Individual
KHUSHBU DUSHYANT DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
575 N RIVER ST, FOURTH FLOOR, WILKES BARRE, PA 18764-0999
(570) 552-4450
(570) 552-4455
Mailing address
PO BOX 1473, KINGSTON, PA 18704-0473
(570) 208-5534
(570) 208-5548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MT 204741
PA
208M00000X
Hospitalist Physician
Primary
MD459060
PA
Other
Enumeration date
06/14/2013
Last updated
04/07/2017
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