MEDICARE: DR. NEERAJ R. 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036125801	IL
2	207RP1001X	Pulmonary Disease Physician	036125801	IL
3	207R00000X	Internal Medicine Physician	D0064481	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00332120	OTHER		RAILROAD MEDICARE-PALMETTO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	203509	OTHER	JHHC
2	259230	OTHER	KAISER PERMANENTE
4	I59407	OTHER	UPIN
5	1314809	OTHER	AETNA HMO
6	88825101	OTHER	CAREFIRST BCBS
7	689LO216	OTHER	WELLCARE
8	7958800	OTHER	AETNA PPO
9	0036	OTHER	CAREFIRST BCBS
10	309207	OTHER	AMERIGROUP - AMERICAID
11	145724700	OTHER	US DEPT OF LABOR-WORKERS COMP
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871514638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEERAJ R. DESAI MD

Provider Business Mailing Address
First Line	:	519 S ROSELLE RD FL 2
Second Line	:
City	:	SCHAUMBURG
State	:	IL
Zip	:	60193-2925
Country	:	US
Telephone Number	:	847-618-4380
Fax Number	:	847-618-0220

Provider Business Practice Location Address
First Line	:	519 S ROSELLE RD FL 2
Second Line	:
City	:	SCHAUMBURG
State	:	IL
Zip	:	60193-2925
Country	:	US
Telephone Number	:	847-618-4380
Fax Number	:	847-618-0220

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/31/2024

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