Shivraj Jagdish Desai, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD031575E Issued in PA

Practice address

1726 S Broad St
Philadelphia, PA 19145-2300

Phone

(215) 463-5008

Fax

(215) 463-4223

NPI assigned

Jun 9, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desai Physician Consulting Services

  • Pulmonary Disease Physician
  • Villanova, PA
  • NPI 1356468920
  Authorized official Same address or phone

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447291539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MOUNT PLEASANT RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190852112",
            "telephone_number": "610-520-1395",
            "fax_number": "610-520-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452300",
            "telephone_number": "215-463-5008",
            "fax_number": "215-463-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SHIVRAJ",
        "middle_name": "JAGDISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD031575E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riddhi J Desai, O.D.
• Rohit M Desai, M.D.
• Sagar Vinay Desai, DO
• Sapna Desai, MD
• Shaan Himanshu Desai, MD
• Shobhana A. Desai, MD
• Sushilchandra Ghelabhai Desai, D.D.S.
• Usha B Desai, MD
• Anthony J Desalvo, D.0.
• Jessica L. Desalvo, D.O.

• Pulmonary Disease Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pulmonary Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.