NPI 1265605984 · live from the CMS NPI Registry
Nisha Shah Desai, MD
Dermatology in Portland, OR. National Provider Identifier 1265605984, active.
NPI record
| NPI | 1265605984 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2525 Nw Lovejoy St Ste 400, Portland, OR 97210 |
| Practice phone | 503-223-1933 |
| Enumerated | April 3, 2008 |
| Last updated | April 28, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD154248 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.