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Contact Information

RUCHIK S DESAI, MD
3190 LANCER ST
PORTAGE, IN46368-4408
 Phone: 219-764-3600
 Fax: 219-764-3661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for RUCHIK S DESAI · (Male)

NPI Number 1710975255
Status Active
Credentials MD
Entity Individual
Enumeration date 10/10/2005
Last updated 09/05/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01057862A
  • IN Other 000000350979 ANTHEM
Hospital affiliation(s)
  • PINNACLE HOSPITAL - (Acute Care)
    9301 CONNECTICUT DR
    CROWN POINT, IN 46307
  • ST MARY MEDICAL CENTER INC - (Acute Care)
    1500 S LAKE PARK AVE
    HOBART, IN 46342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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