Provider Demographics
NPI:1093970980
Name:DESAI, HARSHEEL (MD)
Entity Type:Individual
Prefix:DR
First Name:HARSHEEL
Middle Name:
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HARSHEEL
Other - Middle Name:H
Other - Last Name:DESAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4703 JACKS POINT CT # 4703
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-8054
Mailing Address - Country:US
Mailing Address - Phone:732-604-5441
Mailing Address - Fax:
Practice Address - Street 1:5506 14TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-3601
Practice Address - Country:US
Practice Address - Phone:941-751-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY54232207P00000X
MI4301092526207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine