Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 2009-00008 | NC |
Y | 207RG0100X | Gastroenterologist | P9183 | TX |
NPI | 1003069733 |
---|---|
Provider Name | Svetang Vijay Desai |
First Address | Houston, TX 77034-5416 |
Second Address | Houston, TX 77034-5416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2008 |
Last Update Date | 08/07/2014 |