Provider Demographics
NPI:1023240058
Name:DESAI, SARIKA KIRAN (DO)
Entity type:Individual
Prefix:DR
First Name:SARIKA
Middle Name:KIRAN
Last Name:DESAI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20033 N 19TH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4247
Mailing Address - Country:US
Mailing Address - Phone:623-404-3115
Mailing Address - Fax:
Practice Address - Street 1:20033 N 19TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4247
Practice Address - Country:US
Practice Address - Phone:623-404-3115
Practice Address - Fax:623-215-7670
Is Sole Proprietor?:No
Enumeration Date:2009-08-08
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10887207R00000X
AZ005794207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine