Individual
SANDIP R DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16959 SOUTHWEST FWY, SUITE 100, SUGAR LAND, TX 77479-3481
(832) 255-6632
Mailing address
7015 ALMEDA RD, HOUSTON, TX 77054-2101
(832) 255-6632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
M1073
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M1073
TX
207RP1001X
Pulmonary Disease Physician
Primary
M1073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178112201
—
TX
01
—
8DE525
BCBS
TX
01
—
PO1238234
RAILROAD MEDICARE
TX
Enumeration date
09/20/2005
Last updated
02/09/2016
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