Individual ProviderChetan DesaiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address190 Kimel Park Dr, Va Out-Patient Clinic, Winston Salem, NC 27103-6946(336) 768-3296PECOS EnrollmentBased on the most recent information from CMS, provider Chetan Desai does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1518162460Provider TypeIndividualFull NameDesai, ChetanGenderMaleSole ProprietorNoEnumeration Date6/20/2007Last Updated2/3/2010Contact InformationPractice LocationPractice Address190 Kimel Park Dr, Va Out-Patient Clinic, Winston Salem, NC 27103-6946Phone(336) 768-3296FaxUnlisted FaxMailing LocationMailing Address190 Kimel Park Dr, Va Out-Patient Clinic, Winston Salem, NC 27103-6946PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense2007-00479North Carolina