Desai, Meenakshi M

Desai, Meenakshi M is an sole proprietor health care provider with primary practice located at 3000 Broadway , Mt Vernon IL 62864-0020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Desai, Meenakshi M can be contacted via phone (618) 244-3200.

Contact Information

Primary practice address
3000 Broadway Mt Vernon IL 62864-0020
Phone: (618) 244-3200
Fax: (618) 244-3254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036053115 Illinois

Profile Details

NPI number 1821054172
LBN Legal business name Desai, Meenakshi M
Credentials MD FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Feb 6th, 2014 - about 12 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 1821054172 NPPES
Illinois Other 109262 HEALTHLINK
Illinois MEDICAID 036053115 HEALTHLINK
Illinois Other 4100079 HEALTHLINK

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