Provider Demographics
NPI:1346428679
Name:DARSHANA DESAI, MD PA
Entity Type:Organization
Organization Name:DARSHANA DESAI, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OBSTETRIC & GYNECOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:DARSHANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-549-3700
Mailing Address - Street 1:2177 OAK TREE RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1082
Mailing Address - Country:US
Mailing Address - Phone:732-549-3700
Mailing Address - Fax:732-549-3203
Practice Address - Street 1:2177 OAK TREE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1082
Practice Address - Country:US
Practice Address - Phone:732-549-3700
Practice Address - Fax:732-549-3203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03636700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty