Provider Demographics
NPI:1760404172
Name:DESAI, ANIL B (MD)
Entity Type:Individual
Prefix:
First Name:ANIL
Middle Name:B
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:1901 VETERANS MEMORIAL DR
Mailing Address - Street 2:CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-7451
Mailing Address - Country:US
Mailing Address - Phone:254-743-1920
Mailing Address - Fax:254-742-4681
Practice Address - Street 1:1901 VETERANS MEMORIAL DR
Practice Address - Street 2:CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7451
Practice Address - Country:US
Practice Address - Phone:254-743-1920
Practice Address - Fax:254-742-4681
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO111124207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine