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NPI Code Detail

MEDICARE: KARTIK J. DESAI MD PC

MEDICARE: KARTIK J. DESAI MD PC
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 Physician

General Provider Information

NPI Number : 1154541068
Entity Type Code : Organization
Provider Name (Legal Business Name) : KARTIK J. DESAI MD PC
Provider Business Mailing Address
First Line : 3290 N RIDGE RD
Second Line : SUITE 100
City : ELLICOTT CITY
State : MD
Zip : 21043-3655
Country : US
Telephone Number : 410-313-9292
Fax Number : 410-313-9293
Provider Business Practice Location Address
First Line : 3290 N RIDGE RD
Second Line : SUITE 100
City : ELLICOTT CITY
State : MD
Zip : 21043-3363
Country : US
Telephone Number : 410-313-9292
Fax Number : 410-313-9293
Authorized Official
Title or Position : OWNER
Name : KARTIK J DESAI
Credential : MD
Telephone Number : 410-313-9292
Provider Enumeration Date : 04/26/2007
Last Update Date : 03/11/2019

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Directions to “KARTIK J. DESAI MD PC ” Practice Location

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