MEDICARE: NEIL RAJ DESAI DO

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	208600000X	Surgery Physician	R3658	TX
2	2086S0129X	Vascular Surgery Physician	R3658	TX

General Provider Information

NPI Number	:	1821346628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL RAJ DESAI DO

Provider Business Mailing Address
First Line	:	PO BOX 739526
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-9526
Country	:	US
Telephone Number	:	713-400-6325
Fax Number	:	281-970-9424

Provider Business Practice Location Address
First Line	:	21212 NORTHWEST FWY STE 275
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-5883
Country	:	US
Telephone Number	:	713-400-6325
Fax Number	:

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

Provider Enumeration Date	:	08/27/2012
Last Update Date	:	08/06/2025

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Directions to “ NEIL RAJ DESAI DO” Practice Location

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