person
Diti Desai
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1871966846

Diti Desai is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Diti Desai practices in Philadelphia, PA. The NPI Number for Diti Desai is 1871966846 and holds a License No. MA057943 (Pennsylvania).

The current practice location address for Diti Desai is 700 Spruce St Bsmt West, Philadelphia, PA and can be reached out via phone at 215-829-3264 and via fax at 215-829-8044.

Location: 700 Spruce St Bsmt West, Philadelphia, PA, 19106-4022
person
Provider Profile Details
NPI Number
1871966846
Provider Name
Diti Desai
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 Spruce St Bsmt West, Philadelphia, PA, 19106-4022
Phone Number
215-829-3264
Fax Number
215-829-8044
Provider Enumeration Date
11/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
472044 01 PA MEDICARE
institution
Provider Business Practice Location Address Details
Address
700 Spruce St Bsmt West
City
State
Zip
19106-4022
Phone Number
215-829-3264
Fax Number
215-829-8044
person
Provider Business Mailing Address Details
Address
700 Spruce St Bsmt West
City
State
Zip
19106-4022
Phone Number
215-829-3264
Fax Number
215-829-8044
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA057943 (Pennsylvania)
Definition
Definition to come...
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