Desai, Devyani N

Desai, Devyani N is an individual health care provider with primary practice located at 1835 Gilmore Ave , Lakeland FL 33805-3017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Desai, Devyani N can be contacted via phone (863) 248-3300.

Contact Information

Primary practice address
1835 Gilmore Ave Lakeland FL 33805-3017
Fax: (863) 413-3083
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301047811 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME54873 Florida

Profile Details

NPI number 1558354175
LBN Legal business name Desai, Devyani N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated May 20th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558354175 NPPES
Florida MEDICAID 057537200
Florida Other 14238
Florida MEDICAID 1558354175

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