Provider Demographics
NPI:1316799844
Name:DESAI, ANJALI SANJAY (MD)
Entity type:Individual
Prefix:MS
First Name:ANJALI
Middle Name:SANJAY
Last Name:DESAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 JENKINS ROAD
Mailing Address - Street 2:APT 5
Mailing Address - City:WHITESBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41858
Mailing Address - Country:US
Mailing Address - Phone:606-633-3500
Mailing Address - Fax:
Practice Address - Street 1:240 HOSPITAL ROAD
Practice Address - Street 2:
Practice Address - City:WHITESBURG
Practice Address - State:KY
Practice Address - Zip Code:41858
Practice Address - Country:US
Practice Address - Phone:606-633-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-05
Last Update Date:2024-11-26
Deactivation Date:2024-11-11
Deactivation Code:
Reactivation Date:2024-11-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program