Individual
PARIMAL C DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 DIGGES RD, SUITE 104, MANASSAS, VA 20110-4421
(703) 369-5000
(703) 369-5003
Mailing address
9001 DIGGES RD, STE 105, MANASSAS, VA 20110-4414
(703) 369-5000
(703) 369-5003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101054208
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05622832
—
VA
01
—
080175697
RR MEDICARE
—
Enumeration date
09/06/2005
Last updated
10/07/2019
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