Individual provider · NPI-1

Deepthi Desai, MD

Family Medicine · Lowell, MA

NPI number1144762998
StatusActive
Last updated in NPPESSep 20, 2019

Details

NPI
1144762998
Entity type
Individual (NPI-1)
Name
Deepthi Desai
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Nov 10, 2016
Last updated
Sep 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine279924MAYes
390200000X Student in an Organized Health Care Education/Training ProgramL.4438RAL

Practice location

161 Jackson St
Lowell, MA 01852

Phone 978-937-9700

Mailing address

161 Jackson St
Lowell, MA 01852-2103

Phone 978-937-9700

Other practice locations

4371 Narrow Lane Rd Ste 100
Montgomery, AL 36116-2975

Phone 334-613-3680 · Fax 334-613-3685

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