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Individual

VAISHALI DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1700 PRAIRIE CITY RD, FOLSOM, CA 95630-9594
(916) 351-4800
(916) 351-4899
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 861-1486

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
237306-1
NY
207R00000X
Internal Medicine Physician
A118401
CA
208M00000X
Hospitalist Physician
Primary
A118401
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02730647
NY
01
A118401
MEDICAL STATE LICENSE
CA
Enumeration date
07/09/2006
Last updated
03/13/2020
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