Individual
VAJENDRA J DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 MEDICAL PARK DR SE, GRAND RAPIDS, MI 49546-3607
(616) 957-2235
(616) 464-4234
Mailing address
1055 MEDICAL PARK DR SE, GRAND RAPIDS, MI 49546-3607
(616) 957-2235
(616) 464-4234
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301037172
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2574806
—
MI
Enumeration date
02/02/2006
Last updated
02/09/2011
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