Healthcare Provider Details

I. General information

NPI: 1649399668
Provider Name (Legal Business Name): URMEN DESAI MD MPH FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: URMEN DESAI MD MPH FACS FICS

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 N CAMDEN DR STE 1111
BEVERLY HILLS CA
90210-4435
US

IV. Provider business mailing address

PO BOX 15868
BEVERLY HILLS CA
90209-1868
US

V. Phone/Fax

Practice location:
  • Phone: 310-271-3333
  • Fax: 844-309-1316
Mailing address:
  • Phone: 310-271-3333
  • Fax: 844-309-1316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA114673
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number257350
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: