| Kumar Desai Md Inc | |
|
227 W Janss Rd Suite 315 Thousand Oaks CA 91360-1848 | |
| (805) 449-4278 | |
| (805) 449-4277 |
| Full Name | Kumar Desai Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 227 W Janss Rd, Thousand Oaks, California |
| Authorized Official Name and Position | Kumar S Desai (PRESIDENT) |
| Authorized Official Contact | 8054494278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kumar Desai Md Inc 227 W Janss Rd Suite 315 Thousand Oaks CA 91360-1848 Ph: (805) 449-4278 | Kumar Desai Md Inc 227 W Janss Rd Suite 315 Thousand Oaks CA 91360-1848 Ph: (805) 449-4278 |
| NPI Number | 1881988830 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 06/07/2011 |
| Medicare PECOS PAC ID | 5193996593 |
|---|---|
| Medicare Enrollment ID | O20110915000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881988830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A115599 (California) | Primary |
| 207RI0008X | Internal Medicine - Hepatology | A115599 (California) | Secondary |
| Provider Name | Kumar S Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841495728 PECOS PAC ID: 6800073370 Enrollment ID: I20110915000122 |
| Provider Name | Sara Houck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003448515 PECOS PAC ID: 2365817640 Enrollment ID: I20230420000633 |
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