Individual
PRAKASH K DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 PORT LN, AMARILLO, TX 79106-1736
(806) 358-4596
(806) 468-0240
Mailing address
1901 PORT LN, AMARILLO, TX 79106-2430
(806) 358-4596
(806) 468-0240
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J6918
TX
Other
Enumeration date
11/03/2005
Last updated
08/19/2021
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