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NPI Code Detail

MEDICARE: MRS. ANGELA DESAI N.P.

MEDICARE: MRS. ANGELA DESAI N.P.
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
1363L00000XNurse Practitioner475289CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1475289OTHERCALICENSE

General Provider Information

NPI Number : 1437339637
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA DESAI N.P.
Provider Business Mailing Address
First Line : 1925 E DAKOTA AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726
Country : US
Telephone Number : 559-600-9171
Fax Number : 559-600-9035
Provider Business Practice Location Address
First Line : 1925 E DAKOTA AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-4821
Country : US
Telephone Number : 559-600-9171
Fax Number : 559-455-4783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2007
Last Update Date : 02/25/2026

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