Doctor Name: | KALPANA PANKAJ DESAI |
NPI Number: | 1013020593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 208831-1 |
Business Practice Address: | 773 Highway 466 Lady Lake, FL - 321596340 |
Business Phone Number: | 3522596949 |
Business Fax Number: | 3522591132 |
Mailing Address: | 773 Highway 466, LADY LAKE |
State: | FL |
Postal Code: | 321596340 |
Phone Number: | 3522596949 |
Fax Number: | 3522591132 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 03/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 208831-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |