| Vajendra J Desai | |
|
3321 Buckhaven Dr Se Ada MI 49301-9377 | |
| (616) 235-2090 | |
| (616) 235-2099 |
| Full Name | Vajendra J Desai |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3321 Buckhaven Dr Se, Ada, Michigan |
| Authorized Official Name and Position | Kim Swisher (BILLING) |
| Authorized Official Contact | 6162352090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vajendra J Desai Po Box 120125 Grand Rapids MI 49528-0103 Ph: (616) 235-2090 | Vajendra J Desai 3321 Buckhaven Dr Se Ada MI 49301-9377 Ph: (616) 235-2090 |
| NPI Number | 1124273842 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124273842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301037172 (Michigan) | Primary |
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