Provider Demographics
NPI:1326389396
Name:DESAI, ROHIT A (M D)
Entity Type:Individual
Prefix:DR
First Name:ROHIT
Middle Name:A
Last Name:DESAI
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 E MEADOW WOOD DR
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-3612
Mailing Address - Country:US
Mailing Address - Phone:626-332-3277
Mailing Address - Fax:
Practice Address - Street 1:1105 E MEADOW WOOD DR
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-3612
Practice Address - Country:US
Practice Address - Phone:626-332-3277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA-26602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine