DR. SHREYAS ARVIND DESAI


Address: 2640 Hamstrom Rd, Portage, IN 46368-3832
Phone: 2197629523

DR. SHREYAS ARVIND DESAI (NPI# 1386646529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386646529
Entity Type Individual
Full Name DR. SHREYAS ARVIND DESAI
Credential M.D.
Practice Address 2640 Hamstrom Rd
Portage
IN 46368-3832
Practice Telephone 2197629523
Practice Fax Number 2197633120
Mailing Telephone 2197629523
Mailing Fax Number 2197633120
Enumeration Date 2005-06-01
Last Update Date 2016-08-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QA0505X Family Medicine
Specialization: Adult Medicine
01027933A IN Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine 01027933A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200201230 05
IN 100157480A 05

Office Location

Street Address 2640 HAMSTROM RD
City PORTAGE
State IN
Zip Code 46368-3832

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750739702 Christina Connelly Nurse Practitioner 2640 Hamstrom Rd, Portage, IN 46368-3832 2016-06-01
1750738423 Christine A Sackenheim Nurse Practitioner 2640 Hamstrom Rd, Portage, IN 46368-3832 2016-05-23
1114315041 New Beginnings Suboxone Treatment, LLC Corp Internal Medicine 2640 Hamstrom Rd, Portage, IN 46368-3832 2014-12-30
1861799090 Gayle Marie Voight-block Nurse Practitioner 2640 Hamstrom Rd, Portage, IN 46368-2460 2011-02-24
1992934020 Havishakrishna Sarma Internal Medicine 2640 Hamstrom Rd, Portage, IN 46368-3832 2009-07-10
1891980462 Faizuddin Shareef Family Medicine 2640 Hamstrom Rd, Portage, IN 46368-3832 2007-09-07
1407965320 Kathryn Mary Wallace Nurse Practitioner 2640 Hamstrom Rd, Portage, IN 46368-3832 2006-08-30
1417983537 Internal Medicine,geriatrics and Oncology Group, P.C. Internal Medicine 2640 Hamstrom Rd, Portage, IN 46368-3832 2006-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366041121 Latresa Renee Sims Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1777 Armstrong St. Suite C., Portage, IN 46368 2020-10-22
1831576693 Bishara Robert Khoury Family Medicine 3545 Arbor Blvd Ste E, Portage, IN 46368 2015-04-30
1962813535 Diane Farrington Pharmacist 6050 Us Hwy 6, Portage, IN 46368 2014-05-16
1588827562 Jennifer Ann Rumpel Allergy & Immunology 6375 Us Highway 6 Ste C, Portage, IN 46368 2008-07-09
1588822688 Total Renal Care Inc Clinic/Center 5823 Us Highway 6, Portage, IN 46368 2008-05-27
1235321480 Michael Wendahl Physical Therapist 3691 Willowcreek Road, Suite 100, Portage, IN 46368 2007-08-13
1679663603 Stephen V Headley Family Medicine 3283 Willowcreek Rd, Portage, IN 46368 2006-10-13
1730276486 Robert Tan Ang Psychiatry & Neurology 3156 Willowcreek Road, Portage, IN 46368 2006-10-06
1013029883 Primary Care PC Family Medicine 3125 Willowcreek Road, Portage, IN 46368 2006-08-31
1104936962 Margaret Eileen Griffith Dentist 2646 Lois Street, Portage, IN 46368 2006-08-30
Find all providers in zip 46368

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821278193 Primary Care Clinic of Jackson, P.C. Internal Medicine 2218 Sugarloaf Ave, Portage, MI 49024-6771 2007-11-05
1689868697 Kevin J. Kelly Md, PC Internal Medicine 8145 Valleywood Ln Ste B, Portage, MI 49024-5296 2007-09-02
1548464035 Amanda Rose Henry Internal Medicine 245 W Centre Ave, Portage, MI 49024-5331 2007-06-11
1245263623 Shirani Damayanthi Wijay-samarasinha Internal Medicine 5829 S Westnedge Ave, Portage, MI 49002-1456 2006-07-08
1710942479 Kevin James Kelly Internal Medicine 8145 Valleywood Ln, Suite B, Portage, MI 49024-5296 2006-04-18
1740267947 Robert M. Soltysiak Internal Medicine 917 W. Milham Ave, Portage, MI 49024 2005-12-28
1972586592 Maureen Onuigbo Internal Medicine 2725 Airview Blvd, Ste 105, Portage, MI 49002-1803 2005-11-29
1821099219 Simon Hoogendyk Internal Medicine 401 W Kilgore Rd, Portage, MI 49002-1100 2005-08-09
1639681018 Shazia Shivji Internal Medicine 6200 Central Ave, Portage, IN 46368-3702 2017-10-25
1851812572 Shaun Sadruddin Mehdi Internal Medicine 6200 Central Ave, Portage, IN 46368-3702 2017-07-03
Find all providers in PORTAGE

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City PORTAGE
Zip Code 46368

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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