Provider Demographics
NPI:1528393006
Name:DESAI, HARIT V (MD)
Entity Type:Individual
Prefix:
First Name:HARIT
Middle Name:V
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:39755 MURRIETA HOT SPRINGS RD
Mailing Address - Street 2:SUITE E-130
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-9151
Mailing Address - Country:US
Mailing Address - Phone:951-894-1131
Mailing Address - Fax:951-696-6742
Practice Address - Street 1:39755 MURRIETA HOT SPRINGS RD
Practice Address - Street 2:SUITE E-130
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-9151
Practice Address - Country:US
Practice Address - Phone:951-894-1131
Practice Address - Fax:951-696-6742
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2015-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA139374207R00000X, 207RC0000X, 207UN0901X, 2086S0129X, 207RI0011X
FLME109478207RI0011X, 207UN0901X, 2086S0129X, 207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14Z7DOtherBCBS
FL014804600Medicaid
FL014804600Medicaid