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Individual

DR. ADITI A DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R6772
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
691094
MEDICARE
TX
05
7100420540
KY
Enumeration date
05/18/2011
Last updated
01/04/2024
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