Provider Demographics
NPI:1528089281
Name:DESAI, VARSHA (DMD)
Entity type:Individual
Prefix:DR
First Name:VARSHA
Middle Name:
Last Name:DESAI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 CENTER DRIVE UNIVERSITY OF FLORIDA
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0001
Mailing Address - Country:US
Mailing Address - Phone:904-427-8587
Mailing Address - Fax:
Practice Address - Street 1:UF COLLEGE OF DENTISTRY 1395 CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-8307
Practice Address - Country:US
Practice Address - Phone:513-282-6200
Practice Address - Fax:513-282-6201
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDTP7421223G0001X
OH300208821223G0001X
FLDN27447122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2449676Medicaid