Provider Demographics
NPI:1578751376
Name:RASHMIKANT S. DESAI, MD PA
Entity Type:Organization
Organization Name:RASHMIKANT S. DESAI, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHMIKANT
Authorized Official - Middle Name:S
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-646-0800
Mailing Address - Street 1:200 S NEW RD
Mailing Address - Street 2:
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-2530
Mailing Address - Country:US
Mailing Address - Phone:609-646-0800
Mailing Address - Fax:609-646-6352
Practice Address - Street 1:200 S NEW RD
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-2530
Practice Address - Country:US
Practice Address - Phone:609-646-0800
Practice Address - Fax:609-646-6352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-07
Last Update Date:2007-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03078800207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0375082000OtherAMERIHEALTH
NJ0375082000OtherAMERIHEALTH