PREMAL BHUPESH DESAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175610

License Status

ACTIVE

Business

Title

First Name

PREMAL

Middle

BHUPESH

Last Name

DESAI

Business Name

PREMAL BHUPESH DESAI MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

06/24/2025