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NPI Code Detail

MEDICARE: DR. KIRIT J DESAI MD

MEDICARE:  DR. KIRIT J 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
1207N00000XDermatology PhysicianMD00041515WA

General Provider Information

NPI Number : 1629269188
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIRIT J DESAI MD
Provider Business Mailing Address
First Line : 2735 63RD ST
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60516-1663
Country : US
Telephone Number : 630-220-1985
Fax Number :
Provider Business Practice Location Address
First Line : 4021 S 700 E
Second Line : SUITE 300
City : SALT LAKE CITY
State : UT
Zip : 84107-2184
Country : US
Telephone Number : 800-453-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2007
Last Update Date : 08/08/2007

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Directions to “ DR. KIRIT J DESAI MD” Practice Location

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