Desai, Krishna H

Desai, Krishna H is an sole proprietor health care provider with primary practice located at 7584 E State Route 69 , Prescott Valley AZ 86314-2278. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Desai, Krishna H can be contacted via phone (510) 736-9890.

Contact Information

Primary practice address
7584 E State Route 69 Prescott Valley AZ 86314-2278
Phone: (510) 736-9890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 016.0134081 Vermont
Dental Providers / General Practice 1223G0001X D011685 Arizona

Profile Details

NPI number 1790430189
LBN Legal business name Desai, Krishna H
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2022
Last updated Mar 30th, 2023 - about last year

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 1790430189 NPPES
California MEDICAID $$$$$$$$$

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