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Shivum Abhinandan Desai
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1902592520

Shivum Abhinandan Desai is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Shivum Abhinandan Desai practices in Southfield, MI. The NPI Number for Shivum Abhinandan Desai is 1902592520 and holds a License No. (Michigan).

The current practice location address for Shivum Abhinandan Desai is 22250 Providence Drive 6 Pmb, Southfield, MI and can be reached out via phone at 248-569-7745.

Location: 22250 Providence Drive 6 Pmb, Southfield, MI, 48075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902592520
Provider Name
Shivum Abhinandan Desai
Credential
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Drive 6 Pmb, Southfield, MI, 48075
Phone Number
248-569-7745
Fax Number
Provider Enumeration Date
04/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22250 Providence Drive 6 Pmb
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-569-7745
Fax Number
person
Provider Business Mailing Address Details
Address
22250 Providence Drive 6 Pmb
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-569-7745
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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