Provider Demographics
NPI:1386801769
Name:DESAI, APEKSHA DILIP (MD)
Entity type:Individual
Prefix:DR
First Name:APEKSHA
Middle Name:DILIP
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:PO BOX 80895
Mailing Address - Street 2:LAS VEGAS
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-5380
Mailing Address - Country:US
Mailing Address - Phone:702-508-9119
Mailing Address - Fax:
Practice Address - Street 1:1701 N GREEN VALLEY PKWY STE 4C
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-5886
Practice Address - Country:US
Practice Address - Phone:702-508-9119
Practice Address - Fax:702-551-6255
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003094207R00000X, 208M00000X
CO53347208M00000X
NV18944207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02984921Medicaid
CO61876330Medicaid
V59442OtherMEDICARE
CO024214OtherKAISER COMMERCIAL NUMBER
CO346242YK5YMedicare PIN
NY02984921Medicaid