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Individual

ANSUYA DESAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1709 CHINCOTEAGUE WAY, ROUND ROCK, TX 78681-7116
(512) 244-3783
Mailing address
1709 CHINCOTEAGUE WAY, ROUND ROCK, TX 78681-7116
(512) 244-3783

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G5834
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043267603
TX
01
8R8852
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/16/2006
Last updated
12/01/2011
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