Desai, Hetal

Desai, Hetal is an individual health care provider with primary practice located at 3700 Southern Blvd Ste 401 , Kettering OH 45429. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Desai, Hetal can be contacted via phone (855) 500-2873.

Contact Information

Primary practice address
3700 Southern Blvd Ste 401 Kettering OH 45429
Phone: (855) 500-2873
Fax: (937) 281-3913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2248 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.002248RX Ohio

Profile Details

NPI number 1942461702
LBN Legal business name Desai, Hetal
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Dec 3rd, 2020 - about 4 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 1942461702 NPPES
Ohio MEDICAID 0110093

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