MEDICARE: TORAL SHAH 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
1	207R00000X	Internal Medicine Physician	35130360	OH

General Provider Information

NPI Number	:	1194954925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TORAL SHAH DESAI MD

Provider Business Mailing Address
First Line	:	2093 PHILADELPHIA PIKE # 4289
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2424
Country	:	US
Telephone Number	:	201-308-3903
Fax Number	:	888-958-7819

Provider Business Practice Location Address
First Line	:	2093 PHILADELPHIA PIKE # 4289
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2424
Country	:	US
Telephone Number	:	201-308-3903
Fax Number	:	888-958-7819

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

Provider Enumeration Date	:	07/14/2009
Last Update Date	:	01/15/2026

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