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Individual

MUKESH BATUBHAI DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1215 OLD MAIN ST, HARTFORD, KY 42347-1619
(270) 730-5344
(270) 298-5285
Mailing address
PO BOX 148, HARTFORD, KY 42347-0148
(270) 730-5344
(270) 504-1380

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32753
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64327539
KY
Enumeration date
08/01/2006
Last updated
03/13/2017
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