Manisha Desai

NPI #1487173357 in Odessa, Texas

Provider Information

NPI Number: 1487173357
Entity Type: Organization
Organization Name: Manisha Desai
Primary Specialty: Pediatrics
Enumeration Date: Sep 12, 2017
Last Updated: Sep 12, 2017

Practice Location

Address: 400 EAST 6TH STREET STE 100
City: Odessa
State: Texas
ZIP Code: 79761-6947
Phone: (432) 580-0985

Authorized Official

Name: MANISHA MAHADEV DESAI, M.D.
Title: ORGANIZATION OWNER/PROPRIETER
Phone: (432) 580-0985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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