Individual
NIRAV KISHOR DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 STATE STREET 5TH FLOOR, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Mailing address
109 STATE STREET 5TH FLOOR, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
104712
GA
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
2025-00301
NC
208600000X
Surgery Physician
62015
CT
Other
Enumeration date
04/09/2012
Last updated
03/09/2026
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