Desai, Pratibha Kirit

Desai, Pratibha Kirit is an individual health care provider with primary practice located at 5000 Park St N Ste 1017 , Saint Petersburg FL 33709-2236. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Desai, Pratibha Kirit can be contacted via phone (727) 344-6569.

Contact Information

Primary practice address
5000 Park St N Ste 1017 Saint Petersburg FL 33709-2236
Fax: (727) 384-4388
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME66436 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME66436 Florida

Profile Details

NPI number 1861488454
LBN Legal business name Desai, Pratibha Kirit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 27th, 2020 - about 5 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 1861488454 NPPES
Florida MEDICAID 378208500
Florida Other 26693
Florida Other P02205624

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