Provider Demographics
NPI:1649308966
Name:DESAI, ASHESH D (MD)
Entity type:Individual
Prefix:
First Name:ASHESH
Middle Name:D
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:75 GOLDEN SCROLL CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77382-5396
Mailing Address - Country:US
Mailing Address - Phone:832-498-3591
Mailing Address - Fax:
Practice Address - Street 1:600 S CONROE MEDICAL DR STE 101
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304
Practice Address - Country:US
Practice Address - Phone:936-242-6957
Practice Address - Fax:936-242-6958
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2018-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM1631207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K9071Medicare PIN