Provider Demographics
NPI:1629399035
Name:DESAI, RAVI YOGESHKUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:RAVI
Middle Name:YOGESHKUMAR
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 CATHEDRAL CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-4194
Mailing Address - Country:US
Mailing Address - Phone:732-491-7164
Mailing Address - Fax:937-350-6477
Practice Address - Street 1:406 CATHEDRAL CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-4194
Practice Address - Country:US
Practice Address - Phone:732-491-7164
Practice Address - Fax:937-350-6477
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-127721207RC0200X, 207RP1001X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0162690Medicaid
OHP01655476Medicare PIN
OHH469650Medicare PIN