| Nilesh Desai Md Inc | |
|
241 W Olive Ave Burbank CA 91502-1825 | |
| (818) 848-5561 | |
| Not Available |
| Full Name | Nilesh Desai Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 241 W Olive Ave, Burbank, California |
| Authorized Official Name and Position | Nilesh Desai (PHYSICIAN) |
| Authorized Official Contact | 8188485561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nilesh Desai Md Inc 241 W Olive Ave Burbank CA 91502-1825 Ph: (818) 848-5561 | Nilesh Desai Md Inc 241 W Olive Ave Burbank CA 91502-1825 Ph: (818) 848-5561 |
| NPI Number | 1760671234 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 06/27/2011 |
| Medicare PECOS PAC ID | 8729117072 |
|---|---|
| Medicare Enrollment ID | O20100525000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760671234 | NPI | - | NPPES |
| 00A33861 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A33861 (California) | Primary |
| Provider Name | Nilesh H. Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194750349 PECOS PAC ID: 3476682527 Enrollment ID: I20100527000541 |
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