Individual
JAYSHREE M DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36180 FIVE MILE ROAD, LIVONIA, MI 48154
(734) 591-7666
(734) 591-2426
Mailing address
36180 FIVE MILE ROAD, LIVONIA, MI 48154
(734) 591-7666
(734) 591-2426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301056798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3323140
—
MI
Enumeration date
08/02/2006
Last updated
11/29/2007
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