Dr Shirin Ramani Desilva, MD is a
Preventive Medicine - Occupational Medicine physician based in Gravette, Arkansas. Dr Shirin Ramani Desilva is licensed to practice in Arkansas (license number E4074) and her current practice location is 1101 Jackson St Sw, Gravette, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 787-5291.
NPI number for Dr Shirin Ramani Desilva is 1295793818 and her current mailing address is 1101 Jackson St Sw, Gravette, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295793818.
Physician's Profile
| Full Name | Dr Shirin Ramani Desilva |
|---|
| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1101 Jackson St Sw, Gravette, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295793818
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 07/24/2008
Medical Identifiers
Medical identifiers for Dr Shirin Ramani Desilva such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295793818 | NPI | - | NPPES |
| 154251001 | Medicaid | AR | |
| 208406405 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | E4074 (Arkansas) | Primary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 2006017539 (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shirin Ramani Desilva is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Shirin Ramani Desilva, MD
1101 Jackson St Sw,
Gravette, AR 72736-9121
Ph: (479) 787-5291 | Dr Shirin Ramani Desilva, MD
1101 Jackson St Sw,
Gravette, AR 72736-9121
Ph: (479) 787-5291 |
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