MEDICARE: SUNIT B 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
1	207R00000X	Internal Medicine Physician	25MA07780100	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	085744DE4	OTHER	NJ	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861496457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNIT B DESAI M.D.

Provider Business Mailing Address
First Line	:	809 HIGHWAY 36 STE 101
Second Line	:
City	:	UNION BEACH
State	:	NJ
Zip	:	07735-3366
Country	:	US
Telephone Number	:	732-856-5299
Fax Number	:	732-615-0865

Provider Business Practice Location Address
First Line	:	809 HIGHWAY 36 STE 101
Second Line	:
City	:	UNION BEACH
State	:	NJ
Zip	:	07735-3366
Country	:	US
Telephone Number	:	973-206-9340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	12/04/2018

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Directions to “ SUNIT B DESAI M.D.” Practice Location

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