Provider Demographics
NPI:1437186814
Name:DESAI, RASHMIKANT SUMANTLAL (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHMIKANT
Middle Name:SUMANTLAL
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 ENGLISH CREEK AVE
Mailing Address - Street 2:BLDG. 200, SUITE 211
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5549
Mailing Address - Country:US
Mailing Address - Phone:609-677-7776
Mailing Address - Fax:609-677-7509
Practice Address - Street 1:2500 ENGLISH CREEK AVE
Practice Address - Street 2:BLDG. 200, SUITE 211
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5549
Practice Address - Country:US
Practice Address - Phone:609-677-7776
Practice Address - Fax:609-677-7509
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03078800207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ222437740OtherHORIZON BC/BS OF NJ
NJ4512502Medicaid
NJ0107386000OtherAMERIHEALTH
NJ461839Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NJ461839CN9Medicare PIN
NJC59861Medicare UPIN