Dr. Healthy Jayantilal Desai, M.D.
Orthopaedic Surgery, Sports Medicine in Ridgecrest, CA. Individual provider (NPI-1).
NPI number1639327315
StatusActive
Last updated in NPPESMay 17, 2021
Details
- NPI
- 1639327315
- Entity type
- Individual (NPI-1)
- Name
- Dr. Healthy Jayantilal Desai
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2008
- Certification date
- May 17, 2021
- Last updated
- May 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | A114098 | CA | Yes |
| 207X00000X | Orthopaedic Surgery | A114098 | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | P65752 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | BP10035982 | TX |
Practice location
1041 N China Lake BlvdB
Ridgecrest, CA 93555-3183
Phone 760-446-6404 · Fax 760-446-6415
Mailing address
1081 N China Lake BlvdRidgecrest, CA 93555-3130
Phone 760-446-8692 · Fax 760-446-8694
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