Individual
ANIL I DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8501 N MACARTHUR BLVD # 1148, IRVING, TX 75063-4100
(972) 385-9898
(888) 770-6360
Mailing address
PO BOX 631148, IRVING, TX 75063-0013
(972) 385-9898
(888) 770-6360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L4906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152223702
—
TX
01
—
8K5410
BCBS
TX
01
—
L4906
STATE LICENSES
TX
01
—
P00061214
MEDICARE RAILROAD
—
Enumeration date
06/14/2006
Last updated
03/24/2015
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