Gautam D Desai (NPI# 1417047663, PAC ID# 9133300155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417047663 |
| PAC ID by PECOS | 9133300155 |
| Professional Enrollment ID | I20110224000268 |
| Full Name | Gautam D Desai |
| Address |
2020 S Independence Blvd Suite 3 Virginia Beach VA 23453-4776 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490046 | SENTARA LEIGH HOSPITAL |
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2020 S Independence Blvd, Suite 3, Virginia Beach, VA 23453-4776 |
| Street Address |
2020 S INDEPENDENCE BLVD SUITE 3 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23453-4776 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jitendra M Patel | Internal Medicine | 2020 S Independence Blvd, Virginia Beach, VA 23453-4776 | |
| Edward F Roberts | Obstetrics/gynecology | Commonwealth Women's Healthcare, Inc. | 2020 S Independence Blvd, Suite 5, Virginia Beach, VA 23453-4776 |
| Michael Spruiell | Obstetrics/gynecology | Commonwealth Women's Healthcare, Inc. | 2020 S Independence Blvd, Suite 5, Virginia Beach, VA 23453-4776 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra J Wasko | Physical Therapy | Glasson Sports Medicine PC | 3296 Dam Neck Rd, Virginia Beach, VA 23453-2614 |
| Sandra E Glasson | Orthopedic Surgery | Glasson Sports Medicine PC | 3296 Dam Neck Rd, Virginia Beach, VA 23453-2614 |
| Meredith B Huffman | Physician Assistant | Coastal Dermatology P.C. | 3176 Holland Rd, Suite 103, Virginia Beach, VA 23453-2637 |
| Kimberly Ingram Soderberg | Dermatology | Coastal Dermatology P.C. | 3176 Holland Rd, Suite 103, Virginia Beach, VA 23453-2637 |
| Taylor R Watrous | Physician Assistant | Coastal Dermatology P.C. | 3176 Holland Rd, Suite 103, Virginia Beach, VA 23453-2637 |
| Wendy Anne Calender-howlett | Nurse Practitioner | City of Virginia Beach | 3143 Magic Hollow Blvd, Suite 200, Virginia Beach, VA 23453-3077 |
| Leslie J Kryzanowski | Psychiatry | City of Virginia Beach | 3143 Magic Hollow Blvd, Suite 200, Virginia Beach, VA 23453-3077 |
| Stephanie Allyn Harrell | Clinical Social Worker | City of Virginia Beach | 3143 Magic Hollow Blvd, Suite 200, Virginia Beach, VA 23453-3077 |
| Sreeja Kadakkal | Psychiatry | City of Virginia Beach | 3143 Magic Hollow Blvd, Virginia Beach, VA 23453-3077 |
| Bradley Arin Restivo | Family Medicine | Bayview Physician Services PC | 2088 S Independence Blvd, Suite 103, Virginia Beach, VA 23453-4790 |
| Find all physicians in zip 23453 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23453 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VIRGINIA BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gautam D Desai.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.