Active NPI
Kusum Dipak Desai MD Chartered
- Pulmonary Disease Physician
- Las Vegas, NV
National Provider Identifier
1215161906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4051
- Legal business name
- KUSUM DIPAK DESAI MD CHARTERED
- Doing business as
- Pulmonary Medicine
- Practice address
- 6450 Medical Center St
Ste 4
Las Vegas, NV 89148-2405 - Phone
- (702) 739-9518
- NPI assigned
- May 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kusum Desai, MD
- Title
- Owner
- Phone
- (702) 306-4691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 4051 | NV | Primary |
Addresses
Primary practice location
6450 Medical Center St
Ste 4
Las Vegas, NV 89148-2405
Mailing address
9811 W Charleston Blvd
Ste 2857
Las Vegas, NV 89117-7528
Other names 1
- Pulmonary Medicine
National Provider Directory
National Provider DirectoryLocations
538 S Rainbow Blvd
Ste 110
Las Vegas, NV 89145
Phone (702) 382-2919
9811 W Charleston Blvd
Ste 2857
Las Vegas, NV 89117
6450 Medical Center St
Ste 4
Las Vegas, NV 89148
Phone (702) 739-9518
538 S Rainbow Blvd
Ste 110
Las Vegas, NV 89145
Phone (702) 382-2919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266537600000",
"number": "1215161906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 W CHARLESTON BLVD",
"address_2": "STE 2857",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 MEDICAL CENTER ST",
"address_2": "STE 4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482405",
"telephone_number": "702-739-9518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUSUM DIPAK DESAI MD CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-08",
"last_updated": "2010-02-19",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "KUSUM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-306-4691",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NV",
"license": "4051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pulmonary Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.