| Anand M Desai Md Llc | |
|
1800 Irving Pl Shreveport LA 71101-4608 | |
| (318) 425-4096 | |
| (318) 425-8438 |
| Full Name | Anand M Desai Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Irving Pl, Shreveport, Louisiana |
| Authorized Official Name and Position | Anand Manoj Desai (MEMBER MANAGER) |
| Authorized Official Contact | 8179393372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anand M Desai Md Llc Po Box 64568 Phoenix AZ 85082-4568 Ph: () - | Anand M Desai Md Llc 1800 Irving Pl Shreveport LA 71101-4608 Ph: (318) 425-4096 |
| NPI Number | 1598205551 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 07/31/2019 |
| Medicare PECOS PAC ID | 6608152442 |
|---|---|
| Medicare Enrollment ID | O20170411000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598205551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 300354 (Louisiana) | Primary |
| Provider Name | Anand M Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821433103 PECOS PAC ID: 7911205174 Enrollment ID: I20160620000756 |
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