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NPI Code Detail

MEDICARE: NISA S DESAI MD

MEDICARE: NISA S DESAI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician286972MA

General Provider Information

NPI Number : 1013411313
Entity Type Code : Individual
Provider Name (Legal Business Name) : NISA S DESAI MD
Provider Business Mailing Address
First Line : 2140 W 68TH ST STE 305
Second Line :
City : HIALEAH
State : FL
Zip : 33016-1815
Country : US
Telephone Number : 305-822-4107
Fax Number : 305-822-5086
Provider Business Practice Location Address
First Line : 2140 W 68TH ST STE 300
Second Line :
City : HIALEAH
State : FL
Zip : 33016-1815
Country : US
Telephone Number : 305-822-4107
Fax Number : 305-822-5086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 04/07/2026

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Directions to “ NISA S DESAI MD” Practice Location

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