Provider Demographics
NPI:1417049230
Name:DESAI, AKSHAY D (MD)
Entity Type:Individual
Prefix:DR
First Name:AKSHAY
Middle Name:D
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1812 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34691-5535
Mailing Address - Country:US
Mailing Address - Phone:727-849-2600
Mailing Address - Fax:727-842-6396
Practice Address - Street 1:1812 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34691-5535
Practice Address - Country:US
Practice Address - Phone:727-849-2600
Practice Address - Fax:727-842-6396
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME42408207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2991856-011OtherCIGNA
FL30672OtherB/C B/S
FL042760800Medicaid
FL060051956OtherMEDICARE RAILROAD
FL042760800Medicaid
FL060051956OtherMEDICARE RAILROAD