Individual
TINA R. DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 S ELISEO DR STE 2A, GREENBRAE, CA 94904-2017
(415) 464-5400
(415) 464-5411
Mailing address
1100 S ELISEO DR STE 2A, GREENBRAE, CA 94904-2017
(415) 464-5400
(415) 464-5411
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036087065
IL
2086S0129X
Vascular Surgery Physician
Primary
G135453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-087065
STATE LICENSE
IL
Enumeration date
11/06/2006
Last updated
06/05/2026
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