| Shyam Ambrish Desai, MD | |
|
305 Black Rock Tpke, Fairfield, CT 06825-5508 | |
| (203) 337-2600 | |
| Not Available |
| Full Name | Shyam Ambrish Desai |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 2 Years |
| Location | 305 Black Rock Tpke, Fairfield, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700415973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35.150324 (Ohio) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 81161 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wooster Community Hospital | Wooster, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Metrohealth System | 8628982949 | 1065 |
| Ohio Anesthesia Group, Inc | 9537222138 | 91 |
| Entity Name | The Metrohealth System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Shyam Ambrish Desai, MD 305 Black Rock Tpke, Fairfield, CT 06825-5508 Ph: () - | Shyam Ambrish Desai, MD 305 Black Rock Tpke, Fairfield, CT 06825-5508 Ph: (203) 337-2600 |
Dr. Rahul Singh Anand, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 52 Beach Rd Ste 204, Fairfield, CT 06824 Phone: 203-319-9355 Fax: 203-292-3434 | |
Jacob Michael Lurie, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-337-2600 Fax: 203-337-2666 |