Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 107754 | MN |
NPI | 1114045341 |
---|---|
Provider Name | Dr. Mehul Jagdish Desai |
First Address | Washington, DC 20037-1810 |
Second Address | Washington, DC 20037-1810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 05/10/2016 |