Deshikachar, Vasan H

Deshikachar, Vasan H is an individual health care provider with primary practice located at 11803 Grand River Ave , Detroit MI 48204-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Deshikachar, Vasan H can be contacted via phone (313) 491-5544.

Contact Information

Primary practice address
11803 Grand River Ave Detroit MI 48204-1810
Phone: (313) 491-5544
Fax: (313) 491-7433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301062217 Michigan

Profile Details

NPI number 1700827680
LBN Legal business name Deshikachar, Vasan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 19 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 1700827680 NPPES
Michigan Other 1108257051 BCBS
Michigan MEDICAID 4596179 BCBS

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