Healthcare Provider Details

I. General information

NPI: 1376498451
Provider Name (Legal Business Name): YASH JAYANTKUMAR DESAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST BOX 357233
SEATTLE WA
98195
US

IV. Provider business mailing address

1959 NE PACIFIC ST BOX 357233
SEATTLE WA
98195
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-3320
  • Fax:
Mailing address:
  • Phone:
  • Fax: 206-598-8475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMDFE.FE.7000936
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: