Provider Demographics
NPI:1356482053
Name:DESAI, MAHESHWARI MAHESH
Entity type:Individual
Prefix:DR
First Name:MAHESHWARI
Middle Name:MAHESH
Last Name:DESAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAHESHWARI
Other - Middle Name:KANTILAL
Other - Last Name:CHOKSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:61 SPENSER DR
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2917
Mailing Address - Country:US
Mailing Address - Phone:973-379-2782
Mailing Address - Fax:973-467-8169
Practice Address - Street 1:61 SPENSER DR
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2917
Practice Address - Country:US
Practice Address - Phone:973-379-8278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147359-12085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology