MEDICARE: VIKAS S 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
1	207RC0000X	Cardiovascular Disease Physician	ME66427	FL
2	207RC0000X	Cardiovascular Disease Physician	73174	MA

General Provider Information

NPI Number	:	1659333102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIKAS S DESAI MD

Provider Business Mailing Address
First Line	:	463 WORCESTER RD STE 104
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01701-5354
Country	:	US
Telephone Number	:	508-650-0010
Fax Number	:	508-653-3916

Provider Business Practice Location Address
First Line	:	463 WORCESTER RD STE 104
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01701-5354
Country	:	US
Telephone Number	:	508-650-0010
Fax Number	:	508-653-3916

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	06/11/2024

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