Provider Demographics
NPI:1538306303
Name:DESAI, YOGINI H (RPH)
Entity Type:Individual
Prefix:MRS
First Name:YOGINI
Middle Name:H
Last Name:DESAI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MARKET ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2871
Mailing Address - Country:US
Mailing Address - Phone:740-284-1810
Mailing Address - Fax:740-284-1814
Practice Address - Street 1:500 MARKET ST
Practice Address - Street 2:SUITE 4
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2871
Practice Address - Country:US
Practice Address - Phone:740-284-1810
Practice Address - Fax:740-284-1814
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-20660183500000X
PA036-093183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM039484-1OtherRPH
OH03-3-20660OtherRPH
SC008169OtherRPH
PA036-093OtherRPH