Healthcare Provider Details

I. General information

NPI: 1588570030
Provider Name (Legal Business Name): TWARAA MANDEEP DESAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 WILLIAMSON ST
ELIZABETH NJ
07202-3625
US

IV. Provider business mailing address

321 S BROAD ST UNIT 319
ELIZABETH NJ
07202-3785
US

V. Phone/Fax

Practice location:
  • Phone: 908-220-3772
  • Fax:
Mailing address:
  • Phone: 908-220-3772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: