Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 12695 | NV |
NPI | 1013110998 |
---|---|
Provider Name | Dr. Devang Mahesh Desai |
First Address | Reno, NV 89503-4415 |
Second Address | Reno, NV 89503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 04/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013110998 | (05) | NV |