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NPI Code Detail

MEDICARE: DR. ARVIND D DESAI M.D.

MEDICARE: DR. ARVIND D 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
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianD0063145MD

General Provider Information

NPI Number : 1851346423
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARVIND D DESAI M.D.
Provider Business Mailing Address
First Line : 30 CORPORATE CENTER
Second Line : 10440 LITTLE PATUXENT PARKWAY, SUITE 300
City : COLUMBIA
State : MD
Zip : 21044-3648
Country : US
Telephone Number : 410-636-3060
Fax Number :
Provider Business Practice Location Address
First Line : 30 CORPORATE CENTER
Second Line : 10440 LITTLE PATUXENT PARKWAY, SUITE 300
City : COLUMBIA
State : MD
Zip : 21044-3648
Country : US
Telephone Number : 410-636-3060
Fax Number : 410-636-3061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 08/20/2007

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