Doctor Name: | DR. ROBERT A DESANTIS |
NPI Number: | 1053350223 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 31288 |
Business Practice Address: | 1104 W 1st St Suite #2 Laurel, MS - 394404357 |
Business Phone Number: | 6016499904 |
Business Fax Number: | 6016499944 |
Mailing Address: | 1104 W 1st St, Suite #2 LAUREL |
State: | MS |
Postal Code: | 394404357 |
Phone Number: | 6016499904 |
Fax Number: | 6016499944 |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 02/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 31288 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |