Provider Demographics
NPI:1568545846
Name:DESAI, ANKUR AKHILESH (MD)
Entity Type:Individual
Prefix:MR
First Name:ANKUR
Middle Name:AKHILESH
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:901 WEST MAIN STREET, AMBULATORY CAMPUS
Mailing Address - Street 2:BLDG A, SUITE 367 (CN 505)
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728
Mailing Address - Country:US
Mailing Address - Phone:732-637-6323
Mailing Address - Fax:732-845-5407
Practice Address - Street 1:901 WEST MAIN STREET, AMBULATORY CAMPUS
Practice Address - Street 2:BLDG A, SUITE 367 (CN 505)
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-637-6323
Practice Address - Fax:732-845-5407
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2013-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA080366002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry