Doctor Name: | LAVANYA DESAI |
NPI Number: | 1962714337 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 78 Queens Alley Road Rock Cave, WV - 26234 |
Business Phone Number: | 3049246262 |
Business Fax Number: | 3049245460 |
Mailing Address: | Po Box 217, ROCK CAVE |
State: | WV |
Postal Code: | 262340217 |
Phone Number: | 3049246262 |
Fax Number: | 3049245460 |
NPI Enumeration Date: | 07/13/2010 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |