Healthcare Provider Details

I. General information

NPI: 1831541093
Provider Name (Legal Business Name): PARTH V. DESAI M.D., M.SC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E 28TH ST STE H2100
MINNEAPOLIS MN
55407-3723
US

IV. Provider business mailing address

1236 E RUSHOLME ST STE 300
DAVENPORT IA
52803-2484
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-3199
  • Fax: 612-775-3199
Mailing address:
  • Phone: 563-324-2992
  • Fax: 563-324-8562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD-55179
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number82009
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: