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NPI Code Detail

MEDICARE: DR. UTPAL S DESAI M.D.

MEDICARE:  DR. UTPAL S 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
1174400000XSpecialistME82884FL

Other Identifiers

General Provider Information

NPI Number : 1760478101
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. UTPAL S DESAI M.D.
Provider Business Mailing Address
First Line : 305 MEMORIAL MEDICAL PKWY STE 308
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-5137
Country : US
Telephone Number : 386-231-3600
Fax Number : 386-231-3602
Provider Business Practice Location Address
First Line : 305 MEMORIAL MEDICAL PKWY STE 308
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-5137
Country : US
Telephone Number : 386-231-3600
Fax Number : 386-231-3602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 11/01/2019

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Directions to “ DR. UTPAL S DESAI M.D.” Practice Location

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