Provider Demographics
NPI:1871514638
Name:DESAI, NEERAJ R (MD)
Entity type:Individual
Prefix:DR
First Name:NEERAJ
Middle Name:R
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 S ROSELLE RD FL 2
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2925
Mailing Address - Country:US
Mailing Address - Phone:847-618-4380
Mailing Address - Fax:847-618-0220
Practice Address - Street 1:519 S ROSELLE RD FL 2
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2925
Practice Address - Country:US
Practice Address - Phone:847-618-4380
Practice Address - Fax:847-618-0220
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036125801207RC0200X, 207RP1001X
MDD0064481207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
203509OtherJHHC
259230OtherKAISER PERMANENTE
P00332120OtherRAILROAD MEDICARE-PALMETTO
I59407OtherUPIN
1314809OtherAETNA HMO
88825101OtherCAREFIRST BCBS
689LO216OtherWELLCARE
7958800OtherAETNA PPO
0036OtherCAREFIRST BCBS
309207OtherAMERIGROUP - AMERICAID
145724700OtherUS DEPT OF LABOR-WORKERS COMP
MD411955000Medicaid
259230OtherKAISER PERMANENTE
1314809OtherAETNA HMO
P00332120OtherRAILROAD MEDICARE-PALMETTO
IL209308013Medicare PIN