Individual
DARSHI MITESH DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 475-2612
(909) 475-5059
Mailing address
27000 W LUGONIA AVE APT 8313, REDLANDS, CA 92374-2091
(813) 461-9642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A198399
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2022
Last updated
05/20/2026
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