Organization
NILESH DESAI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILESH DESAI M.D. (PHYSICIAN)
(818) 848-5561
Entity
Organization
Contact information
Practice address
241 W OLIVE AVE, BURBANK, CA 91502-1825
(818) 848-5561
Mailing address
241 W OLIVE AVE, BURBANK, CA 91502-1825
(818) 848-5561
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A33861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A33861
—
CA
Enumeration date
10/19/2007
Last updated
06/27/2011
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