| Ravi Desai Md Llc | |
|
406 Cathedral Ct Dayton OH 45458-4164 | |
| (732) 491-7164 | |
| (937) 350-6477 |
| Full Name | Ravi Desai Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 406 Cathedral Ct, Dayton, Ohio |
| Authorized Official Name and Position | Ravi Y Desai (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7324917164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravi Desai Md Llc 406 Cathedral Ct Dayton OH 45458-4194 Ph: (732) 491-7164 | Ravi Desai Md Llc 406 Cathedral Ct Dayton OH 45458-4164 Ph: (732) 491-7164 |
| NPI Number | 1336866474 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 06/05/2025 |
| Medicare PECOS PAC ID | 9931579554 |
|---|---|
| Medicare Enrollment ID | O20230405002594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336866474 | NPI | - | NPPES |
| H469650 | Other | OH | MEDICARE |
| 0162690 | Medicaid | OH |
| Provider Name | Hayley R Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649577420 PECOS PAC ID: 7214102037 Enrollment ID: I20111206000719 |
| Provider Name | Ravi Yogeshkumar Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629399035 PECOS PAC ID: 7315195435 Enrollment ID: I20160518001503 |
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