Basic Information
Provider Information
NPI: 1073721700
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DESAI
FirstName: MEGHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 800 ROSE ST
Address2: DIV. OF ENDOCRINOLOGY, MEDICAL SCIENCE BLDG., MN 524
City: LEXINGTON
State: KY
PostalCode: 405360298
CountryCode: US
TelephoneNumber: 8593235821
FaxNumber: 8593235707
Practice Location
Address1: 740 S LIMESTONE ST
Address2: ENDOCRINE CLINIC, 2ND FLOOR, WING C
City: LEXINGTON
State: KY
PostalCode: 405360001
CountryCode: US
TelephoneNumber: 8593232232
FaxNumber: 8592571078
Other Information
ProviderEnumerationDate: 05/18/2007
LastUpdateDate: 12/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X41459KYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RE0101X41459KYY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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