Healthcare Provider Details

I. General information

NPI: 1649459124
Provider Name (Legal Business Name): KIRIT DESAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 08/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 SILLECT AVE SUITE 100
BAKERSFIELD CA
93308-6370
US

IV. Provider business mailing address

PO BOX 1139
BAKERSFIELD CA
93302-1139
US

V. Phone/Fax

Practice location:
  • Phone: 661-323-8384
  • Fax: 661-864-1279
Mailing address:
  • Phone: 661-371-2796
  • Fax: 661-438-1746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA38150
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: