| Chirag V Desai Md Llc | |
|
9191 R G Skinner Pkwy Jacksonville FL 32256-9655 | |
| (904) 955-8434 | |
| Not Available |
| Full Name | Chirag V Desai Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9191 R G Skinner Pkwy, Jacksonville, Florida |
| Authorized Official Name and Position | Chirag V Desai (OWNER/AUTHORIZED MEMBER) |
| Authorized Official Contact | 9049558434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chirag V Desai Md Llc 9838 Old Baymeadows Rd Jacksonville FL 32256-8101 Ph: () - | Chirag V Desai Md Llc 9191 R G Skinner Pkwy Jacksonville FL 32256-9655 Ph: (904) 955-8434 |
| NPI Number | 1083073092 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 06/02/2016 |
| Medicare PECOS PAC ID | 8921399965 |
|---|---|
| Medicare Enrollment ID | O20160622000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083073092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME 103568 (Florida) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME 103568 (Florida) | Secondary |
| Provider Name | Chirag V Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386820876 PECOS PAC ID: 5496814402 Enrollment ID: I20091016000189 |
| Provider Name | Christopher J Calandro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265675789 PECOS PAC ID: 9537399621 Enrollment ID: I20140312000713 |
| Provider Name | Sherryl L Makeever |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194077651 PECOS PAC ID: 6800010380 Enrollment ID: I20140624002473 |
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