Healthcare Provider Details

I. General information

NPI: 1144963299
Provider Name (Legal Business Name): KANAN TUSHARBHAI DESAI MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2022
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 SILVER LN FL 3
TRUMBULL CT
06611-5343
US

IV. Provider business mailing address

7 SEIR HILL RD APT 39
NORWALK CT
06850-1355
US

V. Phone/Fax

Practice location:
  • Phone: 203-380-5270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: