Individual
DR. PRAGNESH A. DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6081 HAMILTON BLVD., SUITE 101, ALLENTOWN, PA 18106-9801
(610) 366-2112
(610) 366-2114
Mailing address
6081 HAMILTON BLVD., SUITE 101, ALLENTOWN, PA 18106-9801
(610) 366-2112
(610) 366-2114
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
05-005929-L
PA
208800000X
Urology Physician
Primary
OS-005929-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012376230002
—
PA
01
—
01188701
CAPITAL BLUE CROSS
PA
01
—
990219
KHP CENTRAL & SENIOR BLUE
PA
Enumeration date
08/22/2005
Last updated
04/16/2019
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