Doctor Name: | NITA S DESAI |
NPI Number: | 1043264443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD0000017768 |
Business Practice Address: | 3000 Getwell Rd Memphis, TN - 381182205 |
Business Phone Number: | 9014339348 |
Business Fax Number: | 9014339451 |
Mailing Address: | Po Box 17171, MEMPHIS |
State: | TN |
Postal Code: | 381870171 |
Phone Number: | 9014339348 |
Fax Number: | 9014339451 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | MD0000017768 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |