Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101246880 | VA |
Y | 207RP1001X | Pulmonary Disease | 0101246880 | VA |
NPI | 1013153014 |
---|---|
Provider Name | Himanshu D. Desai |
First Address | Belfast, ME 04915-4004 |
Second Address | Chesapeake, VA 23324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2008 |
Last Update Date | 19/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
-029 | TRICARE/CHAMPUS (01) | VA |
10060446 | OPTIMA HEALTH (01) | VA |
1013153014 | (05) | VA |
408336 | ANTHEM BC/BS (01) | VA |
5914867 | (05) | NC |
PAR | AETNA (01) | VA |
PAR | CIGNA (01) | VA |
PAR | CORVEL/CORCARE (EVMS HEALTH SERVICES) (01) | VA |
PAR | FIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH (01) | VA |
PAR | MULTIPLAN NETWORK (EVMS HEALTH SERVICES) (01) | VA |
PAR | UNITED HEALTH CARE/MAMSI (01) | VA |
PAR | USA MANAGED CARE (01) | VA |
PAR | VA PREMIER HEALTH (EVMS HEALTH SERVICES) (01) | VA |
PAR | VIRGINIA HEALTH NETWORK (01) | VA |