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Contact Information

SHREYAS A DESAI, MD
2640 HAMSTROM RD
PORTAGE, IN46368-3832
 Phone: 219-762-9523
 Fax: 219-763-3120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SHREYAS A DESAI · (Male)

NPI # 1386646529
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2005
Last updated 08/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01027933A
  • IN Medicaid 100157480A
  • IN Medicaid 200201230
Hospital affiliation(s)
  • 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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