Provider Demographics
NPI:1689868440
Name:DESANI, JATIN KARSANDAS (MD)
Entity Type:Individual
Prefix:
First Name:JATIN
Middle Name:KARSANDAS
Last Name:DESANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 RT 72 WEST
Mailing Address - Street 2:STE 305
Mailing Address - City:MANAHAUKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050
Mailing Address - Country:US
Mailing Address - Phone:609-978-3359
Mailing Address - Fax:609-978-3060
Practice Address - Street 1:1100 RT 72 WEST
Practice Address - Street 2:STE 340
Practice Address - City:MANAHAUKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050
Practice Address - Country:US
Practice Address - Phone:609-597-0547
Practice Address - Fax:609-597-8668
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08555800207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology