Rajendra Desai DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

MD5785 Issued in MD

Legal business name

RAJENDRA DESAI DDS PA

Practice address

11055 Little Patuxent Pky
Suite 207
Columbia, MD 21044

Phone

(410) 997-7412

Fax

(410) 997-0392

NPI assigned

Sep 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rajendra Desai, DDS PA

Title

President

Phone

(410) 997-7412

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1093814469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKY",
            "address_2": "SUITE 207",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-997-7412",
            "fax_number": "410-997-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKY",
            "address_2": "SUITE 207",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-997-7412",
            "fax_number": "410-997-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRA DESAI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-997-7412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "MD5785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gaurav Raman, M.D.

• Dentist in Columbia, MD
• Providers in Columbia, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.