Organization
LUNG ASSOCIATES PC
Active
Organization
LUNG ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVINASH M DESAI MD (OFFICER OWNER)
(248) 332-2470
Entity
Organization
Contact information
Practice address
35 S JOHNSON, STE 1D, PONTIAC, MI 48341
(248) 332-0995
(248) 332-2470
Mailing address
35 S JOHNSON, STE 1D, PONTIAC, MI 48341
(248) 332-0995
(248) 332-2470
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11OF37790
BS - GROUP #
MI
Enumeration date
04/06/2006
Last updated
08/22/2020
Update your record
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