| Dr Pratik S Desai, MD | |
|
2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 | |
| (703) 680-2111 | |
| (703) 878-3939 |
| Full Name | Dr Pratik S Desai |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 27 Years |
| Location | 2296 Opitz Blvd, Woodbridge, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205822640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 0101239046 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Alexandria Hospital | Alexandria, VA | Hospital |
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | Hospital |
| Inova Mount Vernon Hospital | Alexandria, VA | Hospital |
| Mary Washington Hospital | Fredericksburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Potomac Urology Center, P.c. | 1557329406 | 19 |
| Inova Health Care Services | 2466351093 | 1588 |
| Potomac Urology Center, P.c. | 1557329406 | 19 |
| Entity Name | Potomac Urology Center, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861588592 PECOS PAC ID: 1557329406 Enrollment ID: O20070614000341 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pratik S Desai, MD 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 Ph: (703) 680-2111 | Dr Pratik S Desai, MD 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 Ph: (703) 680-2111 |
Dr. Shawn Marhamati, M.D: Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-680-2111 | |
Dr. Brian John Decastro, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-546-4782 Fax: 703-546-4782 | |
Ek Seng Lou, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939 | |
Dr. John Brian Klein, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 | |
Shawn James Mendonca, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939 | |
Kuo Jung Gordon Lu, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 13285 Minnieville Rd, Woodbridge, VA 22192 Phone: 703-986-2400 |