Doctor Name: | ROBERT DESAI |
NPI Number: | 1851381727 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 54748 |
Business Practice Address: | 55lake Ave N Umassmemorial Dept. Of Radiology Worcester, MA - 01655 |
Business Phone Number: | 5088566316 |
Business Fax Number: | |
Mailing Address: | 55 Lake Ave N, Umassmemorial Dept. Of Radiology WORCESTER |
State: | MA |
Postal Code: | 01655 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 54748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |