Desai, Manish I

Desai, Manish I is an individual health care provider with primary practice located at 5909 W 35Th St , Cicero IL 60804-4163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Desai, Manish I can be contacted via phone (708) 652-2040.

Contact Information

Primary practice address
5909 W 35Th St Cicero IL 60804-4163
Phone: (708) 652-2040
Fax: (708) 652-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036105725 Illinois

Profile Details

NPI number 1881699080
LBN Legal business name Desai, Manish I
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jun 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881699080 NPPES
Illinois Other 036105725 BLUE SHIELD
Illinois Other 843 BLUE SHIELD
Illinois Other 289581 BLUE SHIELD
Illinois MEDICAID 036105725 BLUE SHIELD
Illinois Other 110234946 BLUE SHIELD

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