Bhavina Desai, PHARMD
Individual provider Active NPI Pharmacist · Phoenix, MD
NPI 1831406503 · NPPES record last updated Sep 1, 2010
Key facts
- NPI
- 1831406503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19609 (MD)
- Practice address
- 3463 Sweet Air Rd
Phoenix, MD 21131-1825 - Phone
- (410) 666-8220
- Fax
- (410) 666-9872
- NPI assigned
- Sep 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19609 | MD | MD | Pharmacist |
| 28RI03322400 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19609 | MD | Yes |
| Pharmacist | 183500000X | 28RI03322400 | NJ |
Addresses
Primary practice location
3463 Sweet Air Rd
Phoenix, MD 21131-1825
Mailing address
12309 Silver Cup CT
Reisterstown, MD 21136-6479
Phone (908) 463-7050
Other providers in Phoenix, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.