Desai, Vajendra J
Desai, Vajendra J is an individual health care provider with primary practice located at 1055 Medical Park Dr Se , Grand Rapids MI 49546-3607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Desai, Vajendra J can be contacted via phone (616) 957-2235.Contact Information
Primary practice address
1055 Medical Park Dr Se
Grand Rapids MI 49546-3607
Phone: (616) 957-2235
Fax: (616) 464-4234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301037172 | Michigan |
Profile Details
| NPI number | 1629040852 |
|---|---|
| LBN Legal business name | Desai, Vajendra J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Feb 9th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629040852 | NPPES |
| Michigan | MEDICAID | 2574806 |
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