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NPI Code Detail

MEDICARE: DIMPLE PATEL DESAI MD

MEDICARE:   DIMPLE PATEL  DESAI  MD
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
1207Q00000XFamily Medicine PhysicianR0560TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053722611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIMPLE PATEL DESAI MD
Provider Business Mailing Address
First Line : 1019 S UTAH AVE
Second Line :
City : WESLACO
State : TX
Zip : 78596-5588
Country : US
Telephone Number : 956-854-1306
Fax Number : 956-520-7046
Provider Business Practice Location Address
First Line : 1021 S UTAH AVE
Second Line :
City : WESLACO
State : TX
Zip : 78596-5588
Country : US
Telephone Number : 956-854-1306
Fax Number : 956-520-7046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2014
Last Update Date : 03/22/2026

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