Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 45237 | KY |
Y | 111NI0900X | Internist | 45237 | KY |
NPI | 1003185679 |
---|---|
Provider Name | Rima Rasesh Desai |
First Address | Cincinnati, OH 45244-2800 |
Second Address | Cincinnati, OH 45244-2800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2011 |
Last Update Date | 16/01/2017 |