Individual
AJITKUMAR M DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 ST LAWRENCE DR STE 203, TIFFIN, OH 44883-8314
(419) 455-8570
(419) 455-8579
Mailing address
27 ST LAWRENCE DR STE 203, TIFFIN, OH 44883-8314
(419) 455-8570
(419) 455-8579
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35039068D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405690
—
OH
Enumeration date
05/31/2006
Last updated
03/03/2009
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