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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAUTAM T DESAI, MD

Active

GAUTAM T DESAI, MD is a Pulmonary Disease healthcare provider located in RANDOLPH, New Jersey. NPI 1639116742 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · RANDOLPH, NJ

Registration Details

NPI Number
1639116742
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2006 (20.219183217307 yrs)
Last Updated
Sep 11, 2025
Licenses
25MA03468300 (NJ)
25MA03468300 (NJ)

Practice Information

Address
447 RT 10
SUITE 2
RANDOLPH, NJ, 07869
Browse NJ providers · Browse ZIP 07869
Phone
9733614555
Fax
9733616360
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Pulmonary Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.