Amarjit M Desai, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

18969 Issued in KY

Practice address

1324 Woodland Drive
Suite a
Elizabethtown, KY 42701-2651

Phone

(270) 765-5921

Fax

(270) 765-4391

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1235131947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 WOODLAND DRIVE",
            "address_2": "SUITE A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012651",
            "telephone_number": "270-765-5921",
            "fax_number": "270-765-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 WOODLAND DRIVE",
            "address_2": "SUITE A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012651",
            "telephone_number": "270-765-5921",
            "fax_number": "270-765-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "AMARJIT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "18969",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "18969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64189699",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Yusuf Khan Deshmukh, M.D.
• Traci M Devary, M.S. CCC-SLP
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• Kelly Devers I, AAS
• Ronald E Devers, LPCC

• Cardiovascular Disease Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.