Provider Demographics
NPI:1962713867
Name:DESAI SOLOMON, SHEEL (MD)
Entity type:Individual
Prefix:DR
First Name:SHEEL
Middle Name:
Last Name:DESAI SOLOMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 HIGH HOUSE RD
Mailing Address - Street 2:202
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3576
Mailing Address - Country:US
Mailing Address - Phone:919-388-9103
Mailing Address - Fax:919-234-0856
Practice Address - Street 1:1010 HIGH HOUSE RD
Practice Address - Street 2:202
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3576
Practice Address - Country:US
Practice Address - Phone:919-388-9103
Practice Address - Fax:919-234-0856
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-00889207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCK164AMedicare UPIN