MEDICARE: DR. DEVAL 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
1	207R00000X	Internal Medicine Physician	V0721	TX
2	207R00000X	Internal Medicine Physician	MT213933	PA
3	208M00000X	Hospitalist Physician	304824	NY
4	207RC0000X	Cardiovascular Disease Physician	V0721	TX

General Provider Information

NPI Number	:	1013446327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEVAL DESAI MD

Provider Business Mailing Address
First Line	:	40 GLYNN CT
Second Line	:
City	:	PARLIN
State	:	NJ
Zip	:	08859-2501
Country	:	US
Telephone Number	:	732-910-9072
Fax Number	:

Provider Business Practice Location Address
First Line	:	4370 MEDICAL ARTS DR STE 300
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1724
Country	:	US
Telephone Number	:	972-874-2042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	09/17/2024

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Directions to “ DR. DEVAL DESAI MD” Practice Location

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