Provider Demographics
NPI:1790717304
Name:DESAI, KINNARI P (MD)
Entity Type:Individual
Prefix:DR
First Name:KINNARI
Middle Name:P
Last Name:DESAI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2310 60TH STREET CT W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-6609
Mailing Address - Country:US
Mailing Address - Phone:941-792-4993
Mailing Address - Fax:941-795-2905
Practice Address - Street 1:2310 60TH STREET CT W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-6609
Practice Address - Country:US
Practice Address - Phone:941-792-4993
Practice Address - Fax:941-795-2905
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200600892207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology