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Individual

HEMAL KISHORBHAI DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1 CIRRUS DR APT 105, ASHLAND, MA 01721-4431
(219) 669-8442
Mailing address
519 GREAT GLN, ROCKY MOUNT, NC 27804-7486
(219) 669-8442

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10280
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/07/2020
Last updated
03/19/2024
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