Organization
BHUPAT H DESAI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHUPAT H DESAI M.D. (PRESIDENT)
(909) 982-2719
Entity
Organization
Contact information
Practice address
630 N 13TH AVE, SUITE B, UPLAND, CA 91786-4975
(909) 982-2719
(909) 946-9931
Mailing address
630 N 13TH AVE, SUITE B, UPLAND, CA 91786-4975
(909) 982-2719
(909) 946-9931
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A33896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326202748
—
CA
Enumeration date
07/15/2008
Last updated
01/25/2010
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