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NPI Code Detail

MEDICARE: DR. SANDHYA DESAI MD

MEDICARE: DR. SANDHYA 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
1208D00000XGeneral Practice PhysicianA49458CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588688824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDHYA DESAI MD
Provider Business Mailing Address
First Line : 2201 MISSION AVE
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-2328
Country : US
Telephone Number : 760-827-7250
Fax Number : 760-827-7225
Provider Business Practice Location Address
First Line : 2176 SALK AVE
Second Line :
City : CARLSBAD
State : CA
Zip : 92008-7346
Country : US
Telephone Number : 760-827-7250
Fax Number : 760-827-7225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 06/12/2009

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Directions to “ DR. SANDHYA DESAI MD” Practice Location

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