Provider Demographics
NPI:1013267830
Name:DESAI, ALPA M (OD)
Entity Type:Individual
Prefix:DR
First Name:ALPA
Middle Name:M
Last Name:DESAI
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:1958 E FRANKLIN DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2914
Mailing Address - Country:US
Mailing Address - Phone:734-255-0783
Mailing Address - Fax:
Practice Address - Street 1:17783 HAGGERTY RD
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-9802
Practice Address - Country:US
Practice Address - Phone:248-675-1875
Practice Address - Fax:248-449-4782
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4901004737152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist