MEDICARE: DR. SARIKA KIRAN DESAI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	20A10887	CA
2	207RC0000X	Cardiovascular Disease Physician	005794	AZ

General Provider Information

NPI Number	:	1023240058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARIKA KIRAN DESAI D.O.

Provider Business Mailing Address
First Line	:	20033 N 19TH AVE STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4247
Country	:	US
Telephone Number	:	623-404-3115
Fax Number	:

Provider Business Practice Location Address
First Line	:	20033 N 19TH AVE STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4247
Country	:	US
Telephone Number	:	623-404-3115
Fax Number	:	623-215-7670

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2009
Last Update Date	:	02/10/2021

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