Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | N3007 | TX |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | N3007 | TX |
NPI | 1205002581 |
---|---|
Provider Name | Sarang N Desai |
First Address | Allen, TX 75013-5289 |
Second Address | Allen, TX 75013-5289 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 16/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8CR152 | BCBS TX 02/01/2011 (01) | TX |
8L19681 | (02) | TX |
P00913340 | MEDICARE RAILROAD - EFFECT 02/01/2011 (01) | TX |