Provider Demographics
NPI:1184609638
Name:DESAI, ARPAN (DO)
Entity type:Individual
Prefix:DR
First Name:ARPAN
Middle Name:
Last Name:DESAI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 GOLDEN TRAIL CT
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4665
Mailing Address - Country:US
Mailing Address - Phone:972-316-7270
Mailing Address - Fax:972-492-5345
Practice Address - Street 1:1809 GOLDEN TRAIL CT
Practice Address - Street 2:SUITE 110
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4665
Practice Address - Country:US
Practice Address - Phone:972-316-7270
Practice Address - Fax:972-492-5345
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2015-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1630207LP2900X
OH34-009510207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI45934Medicare UPIN
TX8G1489Medicare ID - Type UnspecifiedMEDICARE #