Individual
HETVI DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
932 E 34TH ST, JOPLIN, MO 64804-3932
(417) 347-7000
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7737
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2020038431
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2016
Last updated
10/09/2024
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