Individual
DEVANGI D DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 LOS ALTOS PKWY, SPARKS, NV 89436-7708
(775) 982-5000
(775) 982-6221
Mailing address
780 KUENZLI ST, STE 202, RENO, NV 89502-0845
(775) 982-4590
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12906
NV
207R00000X
Internal Medicine Physician
4301084322
MI
208000000X
Pediatrics Physician
12906
NV
208000000X
Pediatrics Physician
4301084322
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11927663
CAQH
—
Enumeration date
02/19/2008
Last updated
01/22/2010
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