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Sonora Shrinivas Desai

Student in an Organized Health Care Education/Training Program in Southfield, MI. Individual provider (NPI-1).

NPI number1093568024
StatusActive
Last updated in NPPESApr 9, 2024

Details

NPI
1093568024
Entity type
Individual (NPI-1)
Name
Sonora Shrinivas Desai
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2024
Certification date
Apr 9, 2024
Last updated
Apr 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

22250 Providence Dr
Southfield, MI 48075-4825

Phone 248-849-3281 · Fax 248-849-5449

Mailing address

22250 Providence Dr
Southfield, MI 48075-4825

Phone 248-849-3281 · Fax 248-849-5449

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