Gautam J Desai, MD
Internal Medicine in West Long Branch, New Jersey
1245242510- Practice location
- 842 Broadway, West Long Branch, NJ 07764-1503
- Phone
- 732-222-0180
- Fax
- 732-222-3990
- Last updated
- July 8, 2007
Gautam J Desai is an Internal Medicine based in West Long Branch, NJ. Gautam J Desai practices in West Long Branch, NJ and has the professional credentials of MD. The NPI Number for Gautam J Desai is 1245242510 and holds a License No. MA07111300 (NJ). The current practice location address for Gautam J Desai is 842 Broadway, West Long Branch, NJ 07764-1503 and can be reached out via phone at 732-222-0180 and via fax at 732-222-3990.
Provider Profile Details
- NPI Number
- 1245242510
- Provider Name
- Gautam J Desai
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 842 Broadway, West Long Branch, NJ 07764-1503
- Phone Number
- 732-222-0180
- Fax Number
- 732-222-3990
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 13, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 842 Broadway
West Long Branch, NJ 07764-1503 - City
- West Long Branch
- State
- New Jersey
- Zip
- 07764-1503
- Phone Number
- 732-222-0180
- Fax Number
- 732-222-3990
Provider Business Mailing Address Details
- Address
- 842 Broadway
West Long Branch, NJ 07764-1503 - City
- West Long Branch
- State
- NJ
- Zip
- 07764-1503
- Phone Number
- 732-222-0180
- Fax Number
- 732-222-3990
License Information
- License Number
- MA07111300
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gautam J Desai, MD?
The NPI number of Gautam J Desai, MD is 1245242510. It was assigned on August 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Gautam J Desai, MD?
Gautam J Desai, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA07111300.
Where does Gautam J Desai, MD practice?
The practice location is 842 Broadway, West Long Branch, NJ 07764-1503. The office can be reached at 732-222-0180 (phone) or 732-222-3990 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245242510 directly on the NPPES registry website.