Individual
DR. BIJAL DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
309 W BUTLER RD, MAULDIN, SC 29662-2531
(864) 297-1575
(877) 817-1801
Mailing address
PO BOX 639856, CINCINNATI, OH 45263-9856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101250322
VA
207R00000X
Internal Medicine Physician
Primary
LL29227
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101250322
LISENCE
VA
05
—
0101250322
—
VA
01
—
29227
STATE LICENSE
SC
05
—
292276
—
SC
Enumeration date
07/20/2006
Last updated
11/21/2023
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