Provider Demographics
NPI:1659641918
Name:K. DESAI M.D. P.A.
Entity Type:Organization
Organization Name:K. DESAI M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:KIRIT
Authorized Official - Middle Name:A
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-988-6850
Mailing Address - Street 1:7737 SOUTHWEST FREEWAY
Mailing Address - Street 2:SUITE #566
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:713-988-6850
Mailing Address - Fax:713-988-6840
Practice Address - Street 1:7737 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE #566
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:713-988-6850
Practice Address - Fax:713-988-6840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122077403Medicaid
TX122077403Medicaid