| Dr. Usha B. Desai, Md, Pc | |
|
120 E Allegheny Ave Philadelphia PA 19134-2207 | |
| (215) 423-4005 | |
| (215) 423-4006 |
| Full Name | Dr. Usha B. Desai, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 120 E Allegheny Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Usha B. Desai (FAMILY PRACTICE PHYSICIAN) |
| Authorized Official Contact | 2154234005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Usha B. Desai, Md, Pc 120 E Allegheny Ave Philadelphia PA 19134-2207 Ph: (215) 423-4005 | Dr. Usha B. Desai, Md, Pc 120 E Allegheny Ave Philadelphia PA 19134-2207 Ph: (215) 423-4005 |
| NPI Number | 1063469583 |
|---|---|
| Provider Enumeration Date | 05/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063469583 | NPI | - | NPPES |
| 0898897 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD038063-L (Pennsylvania) | Primary |
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