Provider Demographics
NPI:1588725832
Name:DESAI, PRATIBHA RAMESH (M D FACOG)
Entity type:Individual
Prefix:DR
First Name:PRATIBHA
Middle Name:RAMESH
Last Name:DESAI
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Gender:F
Credentials:M D FACOG
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Mailing Address - Street 1:2321 W CASPER CT
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-2050
Mailing Address - Country:US
Mailing Address - Phone:562-266-1477
Mailing Address - Fax:562-266-1477
Practice Address - Street 1:1725 W 17TH STREET
Practice Address - Street 2:HEALTH CARE AGENCY
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706
Practice Address - Country:US
Practice Address - Phone:714-834-8780
Practice Address - Fax:714-834-8275
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA 31924207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology