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NPI Code Detail

MEDICARE: SUCHITA DESAI

MEDICARE: SUCHITA 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
1183500000XPharmacistPD11702AR
2183500000XPharmacist54106TX

General Provider Information

NPI Number : 1679857221
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUCHITA DESAI
Provider Business Mailing Address
First Line : 9522 BROADWAY ST
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7724
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9522 BROADWAY ST
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7724
Country : US
Telephone Number : 713-436-8151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2011
Last Update Date : 09/09/2022

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Directions to “ SUCHITA DESAI ” Practice Location

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