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NPI Code Detail

MEDICARE: URMEN DESAI MD MPH PC

MEDICARE: URMEN DESAI MD MPH PC
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
12086S0122XPlastic and Reconstructive Surgery Physician257350NY

General Provider Information

NPI Number : 1881049591
Entity Type Code : Organization
Provider Name (Legal Business Name) : URMEN DESAI MD MPH PC
Provider Business Mailing Address
First Line : 200 PARK AVE
Second Line : 17TH FLOOR
City : NEW YORK
State : NY
Zip : 10166-0005
Country : US
Telephone Number : 310-880-5275
Fax Number :
Provider Business Practice Location Address
First Line : 200 PARK AVE
Second Line : 17TH FLOOR
City : NEW YORK
State : NY
Zip : 10166-0005
Country : US
Telephone Number : 310-880-5275
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. URMEN DESAI
Credential : MD MPH PC
Telephone Number : 310-880-5275
Provider Enumeration Date : 05/01/2016
Last Update Date : 05/01/2016

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