Most Relevant Information
Provider Data
| NPI Number: | 1003558784 |
| Provider Name: | SUDHAMSH REDDY DESAI M.B.,B.S, |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2022 |
| Last Updated: | 02/21/2023 |
Provider Practice Location
1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX
NY
10461
Practice Location Phone/Fax
| Phone: | 7189185642 |
| Fax: | 7189183174 |
Provider Mailing Location
1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX
NY
10461
Provider Mailing Phone/Fax
| Phone: | 7189185642 |
| Fax: | 7189183174 |