Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 41459 | KY |
N | 111NI0900X | Internist | 41459 | KY |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 41459 | KY |
NPI | 1073721700 |
---|---|
Provider Name | Megha Desai |
First Address | Lexington, KY 40536-0298 |
Second Address | Lexington, KY 40536-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 03/12/2020 |