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NPI Code Detail

MEDICARE: VIRENDRA D DESAI MD

MEDICARE: VIRENDRA D 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME93419FL

Other Identifiers

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

General Provider Information

NPI Number : 1487689758
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRENDRA D DESAI MD
Provider Business Mailing Address
First Line : 460 E KESLEY LN
Second Line :
City : ST JOHNS
State : FL
Zip : 32259-6295
Country : US
Telephone Number : 904-302-3553
Fax Number :
Provider Business Practice Location Address
First Line : 1600 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-627-9240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/20/2026

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