Provider Demographics
NPI:1902797855
Name:DESAI, AMARJA
Entity type:Individual
Prefix:
First Name:AMARJA
Middle Name:
Last Name:DESAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8008 NIGHTWIND CT
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6463
Mailing Address - Country:US
Mailing Address - Phone:410-404-6071
Mailing Address - Fax:443-200-0275
Practice Address - Street 1:8008 NIGHTWIND CT
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6463
Practice Address - Country:US
Practice Address - Phone:410-404-6071
Practice Address - Fax:443-200-0275
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09867225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist