NPI | 1417983537 |
---|---|
Former Legal Business Name | SHREYAS A. DESAI, M.D. |
Entity Type | Organization |
Authorized Contact | DIANA G NEUMANN Billing Clerk 219-464-4786 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01027933A) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2014-07-18 |