Individual
NIDHI NARENDRA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-0288
Mailing address
5983 SW 83RD TER, GAINESVILLE, FL 32608-5383
(850) 294-2718
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1022398
MA
2085R0202X
Diagnostic Radiology Physician
MD-55459
IA
2085R0202X
Diagnostic Radiology Physician
MD2025-0560
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
02/24/2026
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