Desai, Pareshkumar G

Desai, Pareshkumar G is an individual health care provider with primary practice located at 3264 W Audubon Park Path , Lecanto FL 34461-8450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Desai, Pareshkumar G can be contacted via phone (352) 628-7671.

Contact Information

Primary practice address
3264 W Audubon Park Path Lecanto FL 34461-8450
Fax: (352) 628-9893
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0044157 Florida

Profile Details

NPI number 1760455042
LBN Legal business name Desai, Pareshkumar G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jun 10th, 2021 - about 3 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 1760455042 NPPES
Florida Other 591942276001 CHAMPUS
Florida Other 340016073 CHAMPUS
Florida MEDICAID 048743100 CHAMPUS
Florida Other 09071 CHAMPUS

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