MEDICARE: DR. DEVENDRA DESAI M.D.

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	208600000X	Surgery Physician	01032278A	IN

Other Identifiers

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

General Provider Information

NPI Number	:	1205881323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEVENDRA DESAI M.D.

Provider Business Mailing Address
First Line	:	7905 CALUMET AVE
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-1215
Country	:	US
Telephone Number	:	219-836-7214
Fax Number	:	219-836-5842

Provider Business Practice Location Address
First Line	:	7905 CALUMET AVE
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-1215
Country	:	US
Telephone Number	:	219-836-7214
Fax Number	:	219-836-5842

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	05/03/2010

Similar Medicare Providers

1023975919 — TRIARK LLC
Practice Location Address:

7951 CALUMET AVE # 1066
MUNSTER, IN
46321-1215

Practice Phone: 708-673-3761
Practice Fax:

1942297239 — JULIE MARIE LAURIDSEN AUD
Practice Location Address:

7905 CALUMET AVE , HAMMOND CLINIC LLC
MUNSTER, IN
46321-1215

Practice Phone: 219-836-5800
Practice Fax: 219-836-8073

1306823570 — DR. JAY L. KORACH M.D.
Practice Location Address:

7905 CALUMET , HAMMOND CLINIC LLC
MUNSTER, IN
46321-1215

Practice Phone: 219-836-5800
Practice Fax: 219-836-8073

1669449245 — BRIAN J KRAUS FNP
Practice Location Address:

7905 S CALUMET , HAMMOND CLINIC LLC
MUNSTER, IN
46321-1215

Practice Phone: 219-836-5800
Practice Fax: 219-836-8073

1306892310 — DR. WILLIAM V. HEHEMANN M.D.
Practice Location Address:

7905 CALUMET AVE
MUNSTER, IN
46321-1215

Practice Phone: 219-836-7214
Practice Fax: 219-836-6436

1316993959 — DR. MARK GORDON M.D.
Practice Location Address:

7905 CALUMET AVE
MUNSTER, IN
46321-1215

Practice Phone: 219-836-7214
Practice Fax: 219-836-7299

Directions to “ DR. DEVENDRA DESAI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.