RAHUL A DESAI (NPI# 1790715100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790715100 |
| Entity Type | Individual |
| Full Name | RAHUL A DESAI |
| Credential | MD |
| Practice Address |
4033 Talbot Rd S Ste 500 Renton WA 98055-5704 |
| Mailing Address |
3600 Lind Ave Sw Suite 100 Attn Credentialing Renton WA 98057-4970 |
| Practice Telephone | 4256903493 |
| Practice Fax Number | 4256909493 |
| Mailing Telephone | 4256902715 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | MD60067817 | WA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 65927 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2000444 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2424 S 90th St, Ste 408, West Allis, WI 532272455 | 4143852716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174913511 | Rahul Paresh Desai | Physician Assistant | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2015-01-23 |
| 1275551061 | Rahul Naren Desai | Radiology | 8950 Sw Nimbus Ave, 150, Beaverton, OR 97008-7478 | 2006-07-18 |
| Street Address |
4033 TALBOT RD S STE 500 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861783912 | Shan Dong | Urology | 4033 Talbot Rd S Ste 500, Renton, WA 98055-5704 | 2011-04-25 |
| 1518974351 | Wynne Chen | Internal Medicine | 4033 Talbot Rd S Ste 500, Renton, WA 98055-5704 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588634935 | Jeff Cooper | Urology | 4300 Talbot Road S, Suite 104, Renton, WA 98055-5767 | 2006-01-26 |
| 1861783912 | Shan Dong | Urology | 4033 Talbot Rd S Ste 500, Renton, WA 98055-5704 | 2011-04-25 |
| 1619289667 | Marcus R Kauffman, M.d., Pllc | Urology | 4300 Talbot Rd S, Suite 104, Renton, WA 98055-6238 | 2010-07-07 |
| 1619135738 | Daniel R Simon | Urology | 4033 Talbot Rd S, Ste 560, Renton, WA 98055-5772 | 2008-05-27 |
| 1578768255 | Atreya Dash | Urology | 4033 Talbot Rd S, Ste 560, Renton, WA 98055-5772 | 2007-06-20 |
| 1275673956 | Jeff Cooper Do Pllc | Urology | 4300 Talbot Road S, Suite 104, Renton, WA 98055-5767 | 2007-02-08 |
| 1831201326 | Marcus Roberts Kauffman | Urology | 4300 Talbot Road S, Suite 104, Renton, WA 98055-5767 | 2006-08-31 |
| 1235199720 | Springbrook Urologic Associates, Inc | Urology | 4011 Talbot Rd S, Renton, WA 98055-5791 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1023400041 | Pacific Northwest Urology Specialists, Pllc | Urology | 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226-7264 | 2015-02-27 |
| 1598182818 | Boston Medical Group- Washington, P.C. | Urology | 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 | 2014-03-25 |
| 1033552823 | Carol Collins | Urology | 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 | 2013-04-10 |
| 1740523158 | Kacey Helena Provenzano | Urology | 780 Swift Blvd Ste 201, Richland, WA 99352 | 2013-04-03 |
| 1023366283 | William P Griggs | Urology | 2160 Dellesta Dr, Bellingham, WA 98226-7850 | 2012-08-20 |
| 1710242714 | Ralph Vernon Stagner | Urology | 3414 Horsehead Bay Dr. N.w., Gig Harbor, WA 98335 | 2012-07-06 |
| 1043579980 | Richard Kenneth Ohme | Urology | 3108 E Bay Dr Nw, Gig Harbor, WA 98335-7610 | 2012-05-13 |
| 1730447731 | Daniel Christian Sackman | Urology | 3124 South 19th St #c320, Tacoma, WA 98405-3011 | 2012-04-26 |
| 1144595299 | Philip Clark May | Urology | 11911 Ne 132nd St Ste 200, Kirkland, WA 98034 | 2012-03-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.