Individual
SHEKHAR S DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 BABCOCK ST NE, SUITE 111, PALM BAY, FL 32905-4612
(321) 952-4445
(321) 952-3081
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 952-4445
(321) 952-3081
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME59178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053065400
—
FL
01
—
12128
BCBS
FL
01
—
200037431
RR MEDICARE
FL
01
—
4234237004
CIGNA
FL
01
—
4339774
AETNA
FL
Enumeration date
10/28/2005
Last updated
02/04/2010
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