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Suvas G Desai Md Psc
Specialist in Berea, Kentucky
NPI 1245318120

Suvas G Desai Md Psc is a Specialist based in Berea, KY. Suvas G Desai Md Psc practices in Berea, KY. The NPI Number for Suvas G Desai Md Psc is 1245318120 and holds a License No. 16723 (Kentucky).

The current practice location address for Suvas G Desai Md Psc is 1011 Paint Lick Rd, Berea, KY and can be reached out via phone at 859-985-8100 and via fax at 859-985-8300.

Location: 1011 Paint Lick Rd, Berea, KY, 40403-0424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245318120
Provider Name
Suvas G Desai Md Psc
Credential
Provider Entity Type
Organization
Address
1011 Paint Lick Rd, Berea, KY, 40403-0424
Phone Number
859-985-8100
Fax Number
859-985-8300
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
65095440 05 KY
7182179 01 KY AETNA
000000045887 01 KY ANTHEM
1800196 01 UNITED HEALTH CARE
1144216318 01 NPI INDIVIDUAL
64167232 05 KY
institution
Provider Business Practice Location Address Details
Address
1011 Paint Lick Rd
City
Berea
State
Kentucky
Zip
40403-9501
Phone Number
859-985-8100
Fax Number
859-985-8300
person
Provider Business Mailing Address Details
Address
1011 Paint Lick Rd
City
Berea
State
Kentucky
Zip
40403-9501
Phone Number
859-985-8100
Fax Number
859-985-8300
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
16723 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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