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1790422053
SHIV DESAI
ALLENTOWN, PA
NPI
1790422053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OT021596)
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
SHIV DESAI DO
400 N 17TH ST STE 300
ALLENTOWN, PA 18104-5052
Phone number: 610-969-3500
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Mailing Address
SHIV DESAI DO
3261 HAVERHILL DR
AURORA, IL 60502-7085
Phone number: 630-414-4708
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