Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | M8627 | TX |
N | 208200000X | Surgeon | 2003-00961 | NC |
N | 208600000X | Surgeon | 2003-00961 | NC |
N | 208200000X | Surgeon | A060649 | CA |
N | 208600000X | Surgeon | A060649 | CA |
NPI | 1376626523 |
---|---|
Provider Name | Dr. Dev M. Desai |
First Address | Dallas, TX 75390-0001 |
Second Address | Dallas, TX 75390-8567 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 28/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8913448 | (05) | NC |
G73197 | (02) |