MEDICARE: DR. NIRAJ SURESH 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	207RN0300X	Nephrology Physician	4061	WI
2	207RN0300X	Nephrology Physician	87484	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0030666	OTHER	HI	UNIVERSITY HLTH ALLIANCE
2	MD10952	OTHER	HI	CIGNA
3	00B0219267	OTHER	HI	HMSA
4	49496403	OTHER	HI	ALOHA CARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MD10952	OTHER	HI	AETNA
7	F29068	OTHER	HI	KAISER
8	MD10952	OTHER	HI	MDX

General Provider Information

NPI Number	:	1649246059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIRAJ SURESH DESAI M.D.

Provider Business Mailing Address
First Line	:	8724 BARRELLI CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-0269
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8724 BARRELLI CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-0269
Country	:	US
Telephone Number	:	808-634-0829
Fax Number	:

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	03/16/2026

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Directions to “ DR. NIRAJ SURESH DESAI M.D.” Practice Location

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