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General NPI Number Information
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NPI Number | 1720841356
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Entity Type | Individual
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Provider Name | SARISHKA DESAI MD
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 260 TREMONT ST
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City | BOSTON
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State | MA
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Zip | 02116-5603
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Country | US
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Telephone | 203-832-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 800 WASHINGTON ST # 450
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City | BOSTON
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State | MA
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Zip | 02111-1552
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Country | US
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Telephone | 617-636-1777
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 3018079
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License Number State | MA
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