Provider Demographics
NPI:1811186364
Name:MORAH, DAMINI DESAI (MS)
Entity Type:Individual
Prefix:MS
First Name:DAMINI
Middle Name:DESAI
Last Name:MORAH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:DAMINI
Other - Middle Name:
Other - Last Name:DESAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:4101 22ND PL
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1121
Mailing Address - Country:US
Mailing Address - Phone:806-725-8082
Mailing Address - Fax:806-723-6477
Practice Address - Street 1:4101 22ND PL
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1121
Practice Address - Country:US
Practice Address - Phone:806-725-8082
Practice Address - Fax:806-723-6477
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS