Individual
KISHOR K DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1160 DEER RUN RD, MANSFIELD, OH 44906-3412
(419) 756-1411
Mailing address
1160 DEER RUN RD, MANSFIELD, OH 44906-3412
(419) 756-1411
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35047621
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0597724
—
OH
Enumeration date
01/19/2007
Last updated
11/15/2012
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