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NPI Code Detail

MEDICARE: NISHI DESAI

MEDICARE: NISHI DESAI
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
1225X00000XOccupational Therapist329325LA

General Provider Information

NPI Number : 1568128940
Entity Type Code : Individual
Provider Name (Legal Business Name) : NISHI DESAI
Provider Business Mailing Address
First Line : 127 W BROAD ST STE 800
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-4297
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 965 FISHER RD
Second Line :
City : MANY
State : LA
Zip : 71449-3819
Country : US
Telephone Number : 318-590-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2021
Last Update Date : 12/10/2025

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Directions to “ NISHI DESAI ” Practice Location

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