Individual
AVINASH M DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 HIGHLAND RD, STE 130, WATERFORD, MI 48328-2167
(248) 681-7909
(248) 681-5814
Mailing address
4000 HIGHLAND RD, STE 130, WATERFORD, MI 48328-2167
(248) 681-7909
(248) 681-0455
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
038163
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301038163
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0631459
BS
MI
05
—
2574403
—
MI
01
—
290002630
RR MC
MI
Enumeration date
04/08/2006
Last updated
08/02/2017
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