MEDICARE: DESAI ASSOCIATES

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		MA

Other Identifiers

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

General Provider Information

NPI Number	:	1700958402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESAI ASSOCIATES

Provider Business Mailing Address
First Line	:	249 WASHINGTON AVE
Second Line	:
City	:	WINTHROP
State	:	MA
Zip	:	02152-1347
Country	:	US
Telephone Number	:	617-846-1318
Fax Number	:	617-846-9346

Provider Business Practice Location Address
First Line	:	249 WASHINGTON AVE
Second Line	:
City	:	WINTHROP
State	:	MA
Zip	:	02152-1347
Country	:	US
Telephone Number	:	617-846-1318
Fax Number	:	617-846-9346

Authorized Official
Title or Position	:	MD
Name	:	USHA DESAI
Credential	:	MD
Telephone Number	:	617-846-1318

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/22/2020

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Directions to “DESAI ASSOCIATES ” Practice Location

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