Provider Demographics
NPI:1649399668
Name:DESAI, URMEN (MD MPH FACS)
Entity Type:Individual
Prefix:DR
First Name:URMEN
Middle Name:
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD MPH FACS
Other - Prefix:DR
Other - First Name:URMEN
Other - Middle Name:
Other - Last Name:DESAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD MPH FACS
Mailing Address - Street 1:433 N CAMDEN DR FL 6
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4416
Mailing Address - Country:US
Mailing Address - Phone:888-384-8188
Mailing Address - Fax:844-309-1316
Practice Address - Street 1:436 N BEDFORD DR STE 202
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4359
Practice Address - Country:US
Practice Address - Phone:888-384-8188
Practice Address - Fax:844-309-1316
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257350208200000X
CAA114673208200000X
FLME110117208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery