Provider Demographics
NPI:1467828343
Name:BIPIN DESAI MD
Entity Type:Organization
Organization Name:BIPIN DESAI MD
Other - Org Name:LIVINGSTON PEDIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF PEDIATRICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BIPIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-229-7337
Mailing Address - Street 1:136 KISSANE AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-2467
Mailing Address - Country:US
Mailing Address - Phone:810-229-7337
Mailing Address - Fax:810-229-6601
Practice Address - Street 1:136 KISSANE AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-2467
Practice Address - Country:US
Practice Address - Phone:810-229-7337
Practice Address - Fax:810-229-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty