Individual
DR. CHETAN K DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 66TH ST N, SUITE 201, ST PETERSBURG, FL 33709-4911
(727) 345-5500
(727) 345-6164
Mailing address
3001 EXECUTIVE DR STE 130, CLEARWATER, FL 33762-5323
(727) 347-0005
(727) 541-6558
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME59176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01532
WELLCARE
—
01
—
100013672
RAILROAD MEDICARE
—
01
—
10694901
CITRUS HEALTHCARE
—
01
—
14960
BCBS
—
01
—
211863
AV MED
—
01
—
231448
AMERIGROUP
—
01
—
2452114-018
CIGNA
—
01
—
2510731
GHI
—
01
—
2905012
UNITED HEALTHCARE
—
05
—
370551000
—
FL
01
—
4349248
AETNA
—
01
—
852
UNIVERSAL HEALTHCARE
—
01
—
SN13000
CAREPLUS
—
Enumeration date
01/31/2006
Last updated
09/28/2021
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