Organization
RAJEN DESAI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJEN B DESAI MD PA (OWNER/PHYSICIAN)
(409) 833-9662
Entity
Organization
Contact information
Practice address
3560 DELAWARE STE 905, BEAUMONT, TX 77706
(409) 833-9662
(409) 839-8864
Mailing address
3560 DELAWARE STE 905, BEAUMONT, TX 77706
(409) 833-9662
(409) 839-8864
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J-1649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123630902
—
TX
Enumeration date
10/20/2010
Last updated
12/01/2010
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