| Desai Medical Center | |
|
3290 N Ridge Rd Suite 100 Ellicott City MD 21043-3363 | |
| (410) 313-9292 | |
| (410) 313-9293 |
| Full Name | Desai Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 3290 N Ridge Rd, Ellicott City, Maryland |
| Authorized Official Name and Position | Kartik J Desai (OWNER) |
| Authorized Official Contact | 4103139292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desai Medical Center 3290 N Ridge Rd Suite 100 Ellicott City MD 21043-3655 Ph: (410) 313-9292 | Desai Medical Center 3290 N Ridge Rd Suite 100 Ellicott City MD 21043-3363 Ph: (410) 313-9292 |
| NPI Number | 1154541068 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 03/11/2019 |
| Medicare PECOS PAC ID | 8325114911 |
|---|---|
| Medicare Enrollment ID | O20080905000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154541068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kartik J Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881730067 PECOS PAC ID: 5395778195 Enrollment ID: I20050913000567 |
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