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NPI Code Detail

MEDICARE: DR. VIREN D. DESAI M.D

MEDICARE: DR. VIREN D. 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
1207LP2900XPain Medicine (Anesthesiology) Physician20010673NC
2208VP0014XInterventional Pain Medicine PhysicianME69424FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942367156
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIREN D. DESAI M.D
Provider Business Mailing Address
First Line : 1345 NE 4TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33304-1031
Country : US
Telephone Number : 954-458-1199
Fax Number :
Provider Business Practice Location Address
First Line : 1345 NE 4TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33304-1031
Country : US
Telephone Number : 954-458-1199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 03/21/2025

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Directions to “ DR. VIREN D. DESAI M.D” Practice Location

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