Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A170128 | CA |
NPI | 1255727871 |
---|---|
Provider Name | Rujul Rakeshkumar Desai |
First Address | Pleasant Hill, CA 94523-2160 |
Second Address | Pleasant Hill, CA 94523-2160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2015 |
Last Update Date | 06/01/2022 |