Vivek Desai, DO
Student in an Organized Health Care Education/Training Program in Tacoma, WA. Individual provider (NPI-1).
NPI number1629838933
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1629838933
- Entity type
- Individual (NPI-1)
- Name
- Vivek Desai
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1202 Martin Luther King Jr WayTacoma, WA 98405-3926
Phone 254-441-4742
Mailing address
1202 Martin Luther King Jr WayTacoma, WA 98405-3926
Phone 254-441-4742
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