Desai, Anil
Desai, Anil is an sole proprietor health care provider with primary practice located at 6696 S Us Highway 1 , Port St Lucie FL 34952-1423. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Desai, Anil can be contacted via phone (772) 466-6651.Contact Information
Primary practice address
6696 S Us Highway 1
Port St Lucie FL 34952-1423
Phone: (772) 466-6651
Fax: (772) 466-0662
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | ME46694 | Florida |
Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | ME46694 | Florida |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME46694 | Florida |
Profile Details
NPI number | 1013942556 |
---|---|
LBN Legal business name | Desai, Anil |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 12th, 2006 |
Last updated | Oct 7th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013942556 | NPPES |
Florida | MEDICAID | 252482100 | |
Florida | Other | 41580 |
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