Manoj R Desai, Md | |
717 W Xenia Dr Fairborn OH 45324-4930 | |
(937) 878-4531 | |
(937) 878-4070 |
Full Name | Manoj R Desai, Md |
---|---|
Speciality | Internal Medicine |
Location | 717 W Xenia Dr, Fairborn, Ohio |
Authorized Official Name and Position | Daniel D Haibach (DIRECTOR BUSINESS DEVELOPMENT) |
Authorized Official Contact | 9375583222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Manoj R Desai, Md 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 384-4838 | Manoj R Desai, Md 717 W Xenia Dr Fairborn OH 45324-4930 Ph: (937) 878-4531 |
NPI Number | 1487921292 |
---|---|
Provider Enumeration Date | 11/22/2011 |
Last Update Date | 11/22/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487921292 | NPI | - | NPPES |
2639630 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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