Individual
DR. BIJAL DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101250322
VA
207R00000X
Internal Medicine Physician
Primary
LL29227
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101250322
LISENCE
VA
05
—
0101250322
—
VA
01
—
29227
STATE LICENSE
SC
05
—
292276
—
SC
Enumeration date
07/20/2006
Last updated
11/21/2023
Update your record
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