Individual
DR. MAULIN MAHESH DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3432 HOLLAND RD, VIRGINIA BCH, VA 23452-4846
(757) 468-1855
(757) 468-4441
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101232624
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
0101232624
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010094500
—
VA
Enumeration date
02/16/2006
Last updated
03/31/2021
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