Organization
DILIP M DESAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDHYA DESAI (ADMINISTRATIVE DIRECTOR)
(810) 600-2888
Entity
Organization
Contact information
Practice address
6240 RASHELLE DR, SUITE 201, FLINT, MI 48507
(810) 600-2888
(810) 600-2889
Mailing address
6240 RASHELLE DR, SUITE 201, FLINT, MI 48507
(810) 600-2888
(810) 600-2889
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002512131
BLUECROSS/BLUESHIELD MI
MI
05
—
1804803
—
MI
Enumeration date
11/24/2023
Last updated
11/24/2023
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