Provider Demographics
NPI:1376998377
Name:DESAI, KALPESH JYOTI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KALPESH
Middle Name:JYOTI
Last Name:DESAI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:NY
Mailing Address - Zip Code:14092-1306
Mailing Address - Country:US
Mailing Address - Phone:716-405-7453
Mailing Address - Fax:
Practice Address - Street 1:345 ABBOTT HALL,
Practice Address - Street 2:UNIVERSITY AT BUFFALO SUNY
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214
Practice Address - Country:US
Practice Address - Phone:716-829-5779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047652-11835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy