Provider Demographics
NPI:1508802729
Name:DESAI, ROHIT M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROHIT
Middle Name:M
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7500 CENTRAL AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-2430
Mailing Address - Country:US
Mailing Address - Phone:215-742-5099
Mailing Address - Fax:215-742-0665
Practice Address - Street 1:7500 CENTRAL AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-2430
Practice Address - Country:US
Practice Address - Phone:215-742-5099
Practice Address - Fax:215-742-0665
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD036260L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009136610002Medicaid
PA132491JTQMedicare PIN
PAD98688Medicare UPIN