Healthcare Provider Details

I. General information

NPI: 1255549218
Provider Name (Legal Business Name): SNEHAL R DESAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 INVESTMENT DR STE 260
TROY MI
48098-6367
US

IV. Provider business mailing address

2621 SEQUOIA CT
BLOOMFIELD HILLS MI
48304-1838
US

V. Phone/Fax

Practice location:
  • Phone: 248-267-5020
  • Fax: 248-267-5021
Mailing address:
  • Phone: 248-635-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number4301081461
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: