Healthcare Provider Details

I. General information

NPI: 1891058855
Provider Name (Legal Business Name): SALIL DESAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2012
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 E JEFFERSON ST
ROCKVILLE MD
20852-4908
US

IV. Provider business mailing address

4901 FOREST PARK AVE, 2ND FLOOR
SAINT LOUIS MO
63108
US

V. Phone/Fax

Practice location:
  • Phone: 301-816-2424
  • Fax:
Mailing address:
  • Phone: 314-362-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2012017412
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD86746
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberD86746
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: