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NPI Code Detail

MEDICARE: SHREE DESAI DO

MEDICARE:   SHREE  DESAI  DO
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
12084P0800XPsychiatry PhysicianOT025006PA

General Provider Information

NPI Number : 1376471136
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHREE DESAI DO
Provider Business Mailing Address
First Line : 257 BRODHEAD RD
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-8938
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 257 BRODHEAD RD
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-8938
Country : US
Telephone Number : 484-822-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ SHREE DESAI DO” Practice Location

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