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NPI Code Detail

MEDICARE: DR. VISHAL DESAI M.D.

MEDICARE: DR. VISHAL DESAI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician125:061693IL
2207RG0100XGastroenterology Physician0361388069IL

General Provider Information

NPI Number : 1104189661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VISHAL DESAI M.D.
Provider Business Mailing Address
First Line : PO BOX 713260
Second Line :
City : CHICAGO
State : IL
Zip : 60677-1260
Country : US
Telephone Number : 630-469-9200
Fax Number :
Provider Business Practice Location Address
First Line : 2 TRANS AM PLAZA DR., STE 100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3281
Country : US
Telephone Number : 630-717-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2012
Last Update Date : 08/04/2023

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Directions to “ DR. VISHAL DESAI M.D.” Practice Location

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