| Rajen Desai Md Pa | |
|
3560 Delaware Ste 905 Beaumont TX 77706 | |
| (409) 833-9662 | |
| (409) 839-8864 |
| Full Name | Rajen Desai Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3560 Delaware Ste 905, Beaumont, Texas |
| Authorized Official Name and Position | Rajen B Desai (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4098339662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajen Desai Md Pa 3560 Delaware Ste 905 Beaumont TX 77706 Ph: (409) 833-9662 | Rajen Desai Md Pa 3560 Delaware Ste 905 Beaumont TX 77706 Ph: (409) 833-9662 |
| NPI Number | 1205146511 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 12/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205146511 | NPI | - | NPPES |
| 123630902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | J-1649 (Texas) | Primary |
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