Individual
DR. RUPAL JIGISH DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4804 ROWAN RD, NEW PORT RICHEY, FL 34653-5609
(727) 375-5242
(727) 375-5198
Mailing address
4337 AUSTON WAY, PALM HARBOR, FL 34685-4016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME96320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275911000
—
FL
01
—
ME96320
MEDICAL LICENCE
FL
Enumeration date
08/04/2006
Last updated
12/23/2011
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