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NPI Code Detail

MEDICARE: DR. BHAVIM DESAI M.D.

MEDICARE:  DR. BHAVIM  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
1207Q00000XFamily Medicine Physician4301099113MI
2207QS1201XSleep Medicine (Family Medicine) PhysicianC162368CA
3207R00000XInternal Medicine PhysicianMD60693801WA
4207QS1201XSleep Medicine (Family Medicine) PhysicianR8174TX

General Provider Information

NPI Number : 1871886721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BHAVIM DESAI M.D.
Provider Business Mailing Address
First Line : 5929 BALCONES DR STE 303
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4286
Country : US
Telephone Number : 512-697-9896
Fax Number : 509-942-2268
Provider Business Practice Location Address
First Line : 5929 BALCONES DR STE 303
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4286
Country : US
Telephone Number : 512-697-9896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2011
Last Update Date : 05/03/2024

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Directions to “ DR. BHAVIM DESAI M.D.” Practice Location

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