Individual
PRASHANT M DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
789 DOUGLAS AVE STE 137, ALTAMONTE SPRINGS, FL 32714-2573
(407) 862-9988
(407) 862-1283
Mailing address
789 DOUGLAS AVE STE 137, ALTAMONTE SPRINGS, FL 32714-2573
(407) 862-9988
(407) 862-1283
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0059526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14489
BLUE CROSS BLUE SHIELD
FL
01
—
233386
AMERIGROUP
FL
01
—
4259760
AETNA
FL
Enumeration date
08/07/2006
Last updated
07/08/2007
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