Provider Demographics
NPI:1003897430
Name:DESAI, RAKESH J (MD)
Entity Type:Individual
Prefix:
First Name:RAKESH
Middle Name:J
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:820 GESSNER RD
Mailing Address - Street 2:#750
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4278
Mailing Address - Country:US
Mailing Address - Phone:713-973-1007
Mailing Address - Fax:713-973-0104
Practice Address - Street 1:820 GESSNER RD
Practice Address - Street 2:#750
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4278
Practice Address - Country:US
Practice Address - Phone:713-973-1007
Practice Address - Fax:713-973-0104
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ15992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D4374Medicare ID - Type Unspecified
TXF59191Medicare UPIN