| Nita S Desai | |
|
3000 Getwell Rd Memphis TN 38118-2205 | |
| (901) 877-7897 | |
| (901) 877-7991 |
| Full Name | Nita S Desai |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3000 Getwell Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Dorothy M Moore (AR MANAGER) |
| Authorized Official Contact | 9018777897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nita S Desai Po Box 17171 Memphis TN 38187-0171 Ph: (901) 877-7897 | Nita S Desai 3000 Getwell Rd Memphis TN 38118-2205 Ph: (901) 877-7897 |
| NPI Number | 1861112930 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Medicare PECOS PAC ID | 0547646564 |
|---|---|
| Medicare Enrollment ID | O20220928003102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861112930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nita S Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043264443 PECOS PAC ID: 5395715965 Enrollment ID: I20040729001453 |
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