Individual
SHRADDHA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14961 W BELL RD STE 175, SURPRISE, AZ 85374-3220
(623) 242-9830
(623) 249-5181
Mailing address
311 STEVENS DR APT 104, YPSILANTI, MI 48197-4535
(443) 872-9184
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
68177
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2016
Last updated
07/20/2023
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