Healthcare Provider Details

I. General information

NPI: 1760648372
Provider Name (Legal Business Name): ANJULI DESAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2008
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8015 SHOAL CREEK BLVD STE 103
AUSTIN TX
78757-8051
US

IV. Provider business mailing address

7951 SHOAL CREEK BLVD STE 300
AUSTIN TX
78757-7582
US

V. Phone/Fax

Practice location:
  • Phone: 512-467-7246
  • Fax: 512-467-7247
Mailing address:
  • Phone: 512-584-8404
  • Fax: 737-377-0442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberP5961
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberP5961
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: