Individual
DR. NILESH H DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
241 W OLIVE AVE, BURBANK, CA 91502-1825
(818) 848-5561
(818) 563-4376
Mailing address
241 W OLIVE AVE, BURBANK, CA 91502-1825
(818) 848-5561
(818) 563-4376
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A33861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A33861
—
CA
Enumeration date
07/12/2006
Last updated
10/16/2007
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