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STUTI V DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
17704 JEAN WAY STE 101, LAKE OSWEGO, OR 97035-5584
(503) 699-0370
(971) 236-9099
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD209635
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2017
Last updated
09/21/2022
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