Individual
MANISHA MAHADEV DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29 DOLORES CT, ODESSA, TX 79765-8544
(432) 561-8797
Mailing address
808 TOWER DR, SUITE 10, ODESSA, TX 79761-4239
(432) 580-0985
(432) 337-2666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K6561
TX
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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