Provider Demographics
NPI:1689841017
Name:DESAI, SHALIN P (MD)
Entity Type:Individual
Prefix:DR
First Name:SHALIN
Middle Name:P
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:718 TEANECK RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4245
Mailing Address - Country:US
Mailing Address - Phone:201-833-3000
Mailing Address - Fax:201-227-6207
Practice Address - Street 1:954 TEANECK RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4504
Practice Address - Country:US
Practice Address - Phone:201-833-2300
Practice Address - Fax:201-833-7600
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2015-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09577800207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease