Provider Demographics
NPI:1225615750
Name:DESAI, AKSHAY NILESH
Entity Type:Individual
Prefix:
First Name:AKSHAY
Middle Name:NILESH
Last Name:DESAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 RUE CHAGALL
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-6474
Mailing Address - Country:US
Mailing Address - Phone:732-236-6248
Mailing Address - Fax:
Practice Address - Street 1:12 RUE CHAGALL
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-6474
Practice Address - Country:US
Practice Address - Phone:732-236-6248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program