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General NPI Number Information
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NPI Number | 1578870176
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Entity Type | Organization
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Legal Business Name | DIRGHAYU DESAI MD PC
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 3703 COUNTY ST
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3113
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Country | US
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Telephone | 757-393-2288
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Fax | 757-399-1822
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Provider Business Mailing Address
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Address Line | 3703 COUNTY ST
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3113
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Country | US
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Telephone | 757-393-2288
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Fax | 757-399-1822
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIRGHAYU DESAI
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Credential | M.D.
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Telephone | 757-393-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | VA
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