| Bhupat H Desai Md Inc | |
|
630 N 13th Ave Suite B Upland CA 91786-4975 | |
| (909) 982-2719 | |
| (909) 946-9931 |
| Full Name | Bhupat H Desai Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 630 N 13th Ave, Upland, California |
| Authorized Official Name and Position | Bhupat H Desai (PRESIDENT) |
| Authorized Official Contact | 9099822719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhupat H Desai Md Inc 630 N 13th Ave Suite B Upland CA 91786-4975 Ph: (909) 982-2719 | Bhupat H Desai Md Inc 630 N 13th Ave Suite B Upland CA 91786-4975 Ph: (909) 982-2719 |
| NPI Number | 1326202748 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 01/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326202748 | NPI | - | NPPES |
| 1326202748 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A33896 (California) | Primary |
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