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GAUTAM DESAI MD PA NPI 1902118276


NPI Information

NPI: 1902118276
Provider Name: GAUTAM DESAI MD PA
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
447 ROUTE 10
SUITE2
RANDOLPH, NJ
ZIP 07869
Phone: (973) 361-4555
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GAUTAM DESAI MD PA is a pulmonary disease internal medicine in Randolph, NJ. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. GAUTAM DESAI MD PA NPI is 1902118276. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

447 ROUTE 10
SUITE2
RANDOLPH, NJ
ZIP 07869-132
Phone: (973) 361-4555

The provider's authorized official is Gautam T Desai .
The authorized official title is President and has the following contact phone number (973) 361-4555.

The enumeration date for this NPI number is 7/2/2010 and was last updated on 7/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RS0012XInternal MedicineSleep MedicineNo
3207RP1001XInternal MedicinePulmonary DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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