MEDICARE: PRATIK 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	207L00000X	Anesthesiology Physician	286869	NY
2	207L00000X	Anesthesiology Physician	ME146802	FL

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	:	1487944963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRATIK DESAI M.D.

Provider Business Mailing Address
First Line	:	2558 SW 38TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-4809
Country	:	US
Telephone Number	:	862-571-0767
Fax Number	:

Provider Business Practice Location Address
First Line	:	2558 SW 38TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-4809
Country	:	US
Telephone Number	:	862-571-0767
Fax Number	:	239-343-0281

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

Provider Enumeration Date	:	04/18/2011
Last Update Date	:	01/13/2026

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Directions to “ PRATIK DESAI M.D.” Practice Location

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