Healthcare Provider Details

I. General information

NPI: 1972179141
Provider Name (Legal Business Name): EASY HEALTH MEDICAL SOLUTIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2021
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 MAPLE LAWN BLVD STE 350
FULTON MD
20759-2683
US

IV. Provider business mailing address

1180 S BEVERLY DR STE 700
LOS ANGELES CA
90035-1151
US

V. Phone/Fax

Practice location:
  • Phone: 888-836-0510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TUSHAR K DESAI
Title or Position: CMO/OWNER
Credential:
Phone: 818-675-8531