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Individual

PURVI NAGIN DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6560 FANNIN ST, SUITE 1878, HOUSTON, TX 77030-2761
(713) 441-5189
(713) 790-6604
Mailing address
6560 FANNIN ST, SUITE 1878, HOUSTON, TX 77030-2761
(713) 441-5189
(713) 790-6604

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M7137
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104013481
BLUE CROSS BLUE SHIELD
TX
05
200210702
TX
05
200210703
TX
01
P00754427
MEDICARE RAILROAD
TX
Enumeration date
10/01/2007
Last updated
10/20/2017
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