Provider Demographics
NPI:1629550009
Name:DESAI, RASHESH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RASHESH
Middle Name:
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 1:361 ANNELISE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-2065
Mailing Address - Country:US
Mailing Address - Phone:203-717-2301
Mailing Address - Fax:
Practice Address - Street 1:259 BULL HILL LN
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3212
Practice Address - Country:US
Practice Address - Phone:203-795-0634
Practice Address - Fax:203-795-0640
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT10660OtherPHARMACIST LICENSE STATE OF CONNECTICUT