Individual
DR. PREMAL JITENDRA DESAI
Active
Individual
DR. PREMAL JITENDRA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35462
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105224
—
AZ
01
—
P00348653
RAILROAD MEDICARE
AZ
Enumeration date
06/07/2006
Last updated
10/03/2012
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