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General NPI Number Information
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NPI Number | 1881049591
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Entity Type | Organization
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Legal Business Name | URMEN DESAI MD MPH PC
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Dates
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Enumeration Date | 05/01/2016
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Last Update Date | 05/01/2016
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Provider Practice Location Address
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Address Line | 200 PARK AVE 17TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10166-0005
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Country | US
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Telephone | 310-880-5275
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Fax |
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Provider Business Mailing Address
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Address Line | 200 PARK AVE 17TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10166-0005
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Country | US
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Telephone | 310-880-5275
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. URMEN DESAI
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Credential | MD MPH PC
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Telephone | 310-880-5275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 257350
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License Number State | NY
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