Through his Gujarati interpreter, former Physician and Chairman of the Hindu Temple in Las Vegas, Dipak Desai plead guilty to federal health care fraud and conspiracy charges. 

The hearing was held in Reno where Dr. Desai is incarcerated and serving life sentence in the previous state conviction. 

Prosecutors say Desai oversaw a southern Nevada medical empire where procedures were rushed to save time; protective gowns, devices and vials of anesthesia were reused to save pennies; and bills to insurance companies were inflated to reap millions of dollars. 

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