Individual
VARSHA J. DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 WALNUT AVE SW, ROANOKE, VA 24016-4719
(540) 345-6468
(540) 345-3204
Mailing address
16 WALNUT AVE SW, ROANOKE, VA 24016-4719
(540) 345-6468
(540) 345-3204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101-031753
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006747451
—
VA
05
—
1588636971
—
VA
Enumeration date
02/02/2006
Last updated
07/06/2021
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