Shirish Desai, MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD-046651-L Issued in PA

Legal business name

SHIRISH DESAI, MD, INC

Practice address

205 Mary Higginson LN
Level 1
Uniontown, PA 15401-2658

Phone

(724) 438-8765

Fax

(724) 438-3911

NPI assigned

Aug 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shirish B. Desai, M.D.

Title

Physician

Phone

(724) 438-8765

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Desai, Rayan, and Cardenas Urology Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1164432811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MARY HIGGINSON LN",
            "address_2": "LEVEL 1",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012658",
            "telephone_number": "724-438-8765",
            "fax_number": "724-438-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARY HIGGINSON LN",
            "address_2": "LEVEL 1",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012658",
            "telephone_number": "724-438-8765",
            "fax_number": "724-438-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRISH DESAI, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHIRISH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-438-8765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-023993-E",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-022718-E",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-065657-L",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-031116-L",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-046651-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0660674",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0703379",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716569",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desai, Rayan, and Cardenas Urology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Timothy Sheldon
• Jerome W. Shell II
• Regina Marie Shelter, RN BSN
• Frances Sherman
• Barbara Ann Shipley, COTA/L
• Laura Shoaf
• Megan Leigh Shondelmyer
• Bayle Shreve
• Laura Dawn Shrum, PHARMD
• Walter Andrew Shultz, DC

• Specialist in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.