Provider Demographics
NPI:1881049591
Name:URMEN DESAI MD MPH PC
Entity type:Organization
Organization Name:URMEN DESAI MD MPH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:URMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH PC
Authorized Official - Phone:310-880-5275
Mailing Address - Street 1:200 PARK AVE
Mailing Address - Street 2:17TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10166-0005
Mailing Address - Country:US
Mailing Address - Phone:310-880-5275
Mailing Address - Fax:
Practice Address - Street 1:200 PARK AVE
Practice Address - Street 2:17TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10166-0005
Practice Address - Country:US
Practice Address - Phone:310-880-5275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-01
Last Update Date:2016-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2573502086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty