MEDICARE: BHARATI P DESAI M.D.

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	208000000X	Pediatrics Physician	MD021441E	PA

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

General Provider Information

NPI Number	:	1477502532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHARATI P DESAI M.D.

Provider Business Mailing Address
First Line	:	1 BRADDOCK ROAD AVE
Second Line	:	HUNTINGDON PLACE
City	:	MT PLEASANT
State	:	PA
Zip	:	15666-1458
Country	:	US
Telephone Number	:	724-547-4547
Fax Number	:	724-547-7460

Provider Business Practice Location Address
First Line	:	1 BRADDOCK ROAD AVE
Second Line	:	HUNTINGDON PLACE
City	:	MT PLEASANT
State	:	PA
Zip	:	15666-1458
Country	:	US
Telephone Number	:	724-547-4547
Fax Number	:	724-547-7460

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	05/16/2008

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Directions to “ BHARATI P DESAI M.D.” Practice Location

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