Individual
NARENDRA G DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10721 MAIN ST STE 2450, FAIRFAX, VA 22030-6911
(571) 723-3366
(703) 890-3092
Mailing address
10721 MAIN ST STE 2450, FAIRFAX, VA 22030-6911
(571) 723-3366
(703) 890-3092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101025154
VA
207R00000X
Internal Medicine Physician
Primary
0101025154
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088861
ANTHEM
VA
01
—
2156
GROUP ID FOR B/C B/S
VA
01
—
4087616
AETNA
VA
01
—
MAMSI
246818
VA
Enumeration date
05/23/2005
Last updated
06/02/2016
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