Desai, Praful

Desai, Praful is an individual health care provider with primary practice located at 4005 Orchard Dr , Midland MI 48670-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Desai, Praful can be contacted via phone (989) 839-3408.

Contact Information

Primary practice address
4005 Orchard Dr Midland MI 48670-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X PD033399 Michigan
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X PD033399 Michigan

Profile Details

NPI number 1730109893
LBN Legal business name Desai, Praful
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1730109893 NPPES
Michigan MEDICAID 1363244

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