Individual
DR. PRATIBHA KIRIT DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 PARK ST N STE 1017, SAINT PETERSBURG, FL 33709-2236
(727) 344-6569
(727) 384-4388
Mailing address
5000 PARK ST N, STE 1017, SAINT PETERSBURG, FL 33709-2236
(727) 344-6570
(727) 384-4388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME66436
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME66436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26693
BCBS FL
FL
05
—
378208500
—
FL
01
—
P02205624
RAILROAD MEDICARE
FL
Enumeration date
09/20/2005
Last updated
08/27/2020
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