Provider Demographics
NPI:1659647790
Name:DESAI, RUBY (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBY
Middle Name:
Last Name:DESAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2840 LEGACY DR STE 400
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6055
Mailing Address - Country:US
Mailing Address - Phone:469-200-6100
Mailing Address - Fax:469-200-6101
Practice Address - Street 1:2200 E PROSPER TRL STE 20
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-2783
Practice Address - Country:US
Practice Address - Phone:469-200-6100
Practice Address - Fax:469-200-6101
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXT0195207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine