MEDICARE: DR. KUNJ K 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
1	2086S0122X	Plastic and Reconstructive Surgery Physician	Q4574	TX
2	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	Q4574	TX
3	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	Q4574	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1174767495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KUNJ K DESAI MD

Provider Business Mailing Address
First Line	:	1601 E 19TH AVE STE 3300
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1239
Country	:	US
Telephone Number	:	303-837-0072
Fax Number	:	303-837-0075

Provider Business Practice Location Address
First Line	:	1601 E 19TH AVE STE 3300
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1239
Country	:	US
Telephone Number	:	303-837-0072
Fax Number	:	303-837-0075

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

Provider Enumeration Date	:	04/30/2009
Last Update Date	:	02/02/2026

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Directions to “ DR. KUNJ K DESAI MD” Practice Location

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