Individual
MANDAR PRAMOD DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W BEN WHITE BLVD, SOUTH AUSTIN MEDICAL CENTER, AUSTIN, TX 78704-6903
(512) 447-2211
Mailing address
906 WILLOW ST, AUSTIN, TX 78702-4237
(757) 553-7099
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
063312
GA
207P00000X
Emergency Medicine Physician
ME105634
FL
207P00000X
Emergency Medicine Physician
Primary
N6856
TX
207P00000X
Emergency Medicine Physician
TRN11660
FL
Other
Enumeration date
06/13/2007
Last updated
01/28/2013
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