MEDICARE: DR. ALPESH D DESAI

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	207N00000X	Dermatology Physician	M1072	TX
2	174400000X	Specialist	M1072	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00337598	OTHER	TX	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1386696904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALPESH D DESAI

Provider Business Mailing Address
First Line	:	2120 ASHLAND ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008
Country	:	US
Telephone Number	:	713-864-2659
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 ASHLAND ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008
Country	:	US
Telephone Number	:	713-864-2659
Fax Number	:

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	09/09/2021

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Directions to “ DR. ALPESH D DESAI ” Practice Location

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