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NPI Code Detail

MEDICARE: DR. KOMAL B DESAI M.D.

MEDICARE: DR. KOMAL B DESAI M.D.
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
1207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician Physician04-27013KS
2207W00000XOphthalmology Physician119323MO
3207W00000XOphthalmology Physician04-27013KS
4207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician Physician119323MO

General Provider Information

NPI Number : 1841298916
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KOMAL B DESAI M.D.
Provider Business Mailing Address
First Line : 11261 NALL AVE
Second Line :
City : LEAWOOD
State : KS
Zip : 66211-1675
Country : US
Telephone Number : 913-261-2020
Fax Number : 913-261-2090
Provider Business Practice Location Address
First Line : 4320 WORNALL RD
Second Line : SUITE 220
City : KANSAS CITY
State : MO
Zip : 64111-5941
Country : US
Telephone Number : 913-261-2020
Fax Number : 913-261-2020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 12/23/2025

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