Doctor Name: | USHA H DESAI |
NPI Number: | 1225078751 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 41489 |
Business Practice Address: | 249 Washington Ave Winthrop, MA - 021521347 |
Business Phone Number: | 6178461318 |
Business Fax Number: | |
Mailing Address: | 249 Washington Ave, WINTHROP |
State: | MA |
Postal Code: | 021521347 |
Phone Number: | 6178461318 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 41489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |