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NPI Code Detail

MEDICARE: DR. BHAKTI K DESAI DDS

MEDICARE: DR. BHAKTI K DESAI DDS
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
11223G0001XGeneral Practice Dentistry35870CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B35870OTHERCAMEDICAL PROVIDER NUMBER

General Provider Information

NPI Number : 1588737407
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BHAKTI K DESAI DDS
Provider Business Mailing Address
First Line : 266 N JACKSON AVE
Second Line : SUITE 2
City : SAN JOSE
State : CA
Zip : 95116-1606
Country : US
Telephone Number : 408-926-1135
Fax Number : 408-926-1193
Provider Business Practice Location Address
First Line : 266 N JACKSON AVE
Second Line : SUITE 2
City : SAN JOSE
State : CA
Zip : 95116-1606
Country : US
Telephone Number : 408-926-1135
Fax Number : 408-926-1193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BHAKTI K DESAI DDS” Practice Location

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