MEDICARE: DR. PARUL I 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	207Q00000X	Family Medicine Physician	C10005389	DE
2	207Q00000X	Family Medicine Physician	244920	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	80131379	OTHER	DE	MEDICARE RAILROAD

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
3	2585	OTHER	DE	COVENTRY HEALTHCARE
4	1917285	OTHER	DE	UNITED HEALTHCARE
5	290848	OTHER	DE	MAMSI
6	510279425	OTHER	DE	BCBS DELAWARE
7	5417669	OTHER	DE	AETNA US HEALTHCARE

General Provider Information

NPI Number	:	1215933965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PARUL I DESAI MD

Provider Business Mailing Address
First Line	:	65 WALNUT ST
Second Line	:	STE 420
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-2118
Country	:	US
Telephone Number	:	781-235-3444
Fax Number	:	781-235-6444

Provider Business Practice Location Address
First Line	:	65 WALNUT ST
Second Line	:	STE 420
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-2118
Country	:	US
Telephone Number	:	781-235-3444
Fax Number	:	781-235-6444

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	10/11/2012

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Directions to “ DR. PARUL I DESAI MD” Practice Location

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