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NPI Code Detail

MEDICARE: DHRUTI NISHIT DESAI FNP-C

MEDICARE:   DHRUTI NISHIT DESAI  FNP-C
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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianAP127565TX
2363LF0000XFamily Nurse PractitionerAP127565TX

General Provider Information

NPI Number : 1043602238
Entity Type Code : Individual
Provider Name (Legal Business Name) : DHRUTI NISHIT DESAI FNP-C
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-7208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2999 OLYMPUS BLVD
Second Line :
City : COPPELL
State : TX
Zip : 75019-0122
Country : US
Telephone Number : 469-647-4250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2015
Last Update Date : 03/23/2026

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