Healthcare Provider Details

I. General information

NPI: 1902285141
Provider Name (Legal Business Name): POYANI DESAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7102 TARRINGTON AVE # 602
SUGAR LAND TX
77479-7275
US

IV. Provider business mailing address

7102 TARRINGTON AVE # 602
SUGAR LAND TX
77479-7275
US

V. Phone/Fax

Practice location:
  • Phone: 281-240-0311
  • Fax: 281-240-0313
Mailing address:
  • Phone: 281-240-0311
  • Fax: 281-240-0313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD61366894
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR9205
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD465771
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: