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Individual

TINA VIKKI DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(277) 674-2437
(727) 767-8612
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1014052
MA
208000000X
Pediatrics Physician
286004
NY
208000000X
Pediatrics Physician
ME143965
FL
208M00000X
Hospitalist Physician
Primary
ME143965
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/26/2013
Last updated
06/21/2023
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