Provider Demographics
NPI:1275779100
Name:DESAI, HEMANGINI ASHISH (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMANGINI
Middle Name:ASHISH
Last Name:DESAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12240 CORTE SABIO
Mailing Address - Street 2:1102
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128
Mailing Address - Country:US
Mailing Address - Phone:858-592-0949
Mailing Address - Fax:
Practice Address - Street 1:12240 CORTE SABIO
Practice Address - Street 2:1102
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-4500
Practice Address - Country:US
Practice Address - Phone:858-592-0949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-24
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105815207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine