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NPI Code Detail

MEDICARE: NITA S DESAI MD

MEDICARE: NITA S DESAI MD
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
12084A0401XAddiction Medicine (Psychiatry & Neurology) PhysicianMD0000017768TN
22084A0401XAddiction Medicine (Psychiatry & Neurology) Physician17768TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00054180OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043264443
Entity Type Code : Individual
Provider Name (Legal Business Name) : NITA S DESAI MD
Provider Business Mailing Address
First Line : PO BOX 17171
Second Line :
City : MEMPHIS
State : TN
Zip : 38187-0171
Country : US
Telephone Number : 901-877-7897
Fax Number : 901-877-7991
Provider Business Practice Location Address
First Line : 3000 GETWELL RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38118-2205
Country : US
Telephone Number : 901-268-8620
Fax Number : 901-877-7991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 08/24/2022

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Directions to “ NITA S DESAI MD” Practice Location

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