Provider Demographics
NPI:1518999358
Name:DESAI, SANJAY SHASHIKANT (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:SHASHIKANT
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:7650 E PARHAM RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4373
Practice Address - Country:US
Practice Address - Phone:804-288-3136
Practice Address - Fax:804-288-4538
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-10-20
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Provider Licenses
StateLicense IDTaxonomies
VA0101051237207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006401945Medicaid
VA0536744OtherAETNA HMO
VA1518999358Medicaid
VA285577OtherSOUTHERN HEALTH
VA30804OtherSH CARENET
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA540885859OtherCORVEL
VA540885859OtherCIGNA
VA540885859OtherC&O EMPLOYEE'S HEALTHCARE
VA540885859OtherUNITED HEALTHCARE MAMIS
VA46419OtherOPTIMA HEALTH
VA540885859OtherFIRST HEALTH/CCN
VA0900313OtherUNITED HEALTHCARE
VA278957OtherANTHEM HEALTHKEEPERS
VA540885859OtherFOCUS
VA540885859OtherCOMPMANAGEMENT
VA200019786OtherRAILROAD MEDICARE
VA386530OtherANTHEM WEST END OPERATORY
VA540885859OtherCORVEL
VA0472640005Medicare NSC
VA003340W27Medicare PIN