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General NPI Number Information
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NPI Number | 1881988830
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Entity Type | Organization
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Legal Business Name | KUMAR DESAI MD INC
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 227 W JANSS RD SUITE 315
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1848
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Country | US
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Telephone | 805-449-4278
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Fax | 805-449-4277
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Provider Business Mailing Address
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Address Line | 227 W JANSS RD SUITE 315
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1848
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Country | US
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Telephone | 805-449-4278
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Fax | 805-449-4277
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KUMAR S DESAI
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Credential | MD
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Telephone | 805-449-4278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | A115599
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A115599
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License Number State | CA
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