Healthcare Provider Details

I. General information

NPI: 1548425531
Provider Name (Legal Business Name): MALINI ANAND DESAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MALINI ANAND M.D.

II. Dates (important events)

Enumeration Date: 07/19/2008
Last Update Date: 01/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N MAIN ST
AKRON OH
44310-3110
US

IV. Provider business mailing address

444 N MAIN ST
AKRON OH
44310-3110
US

V. Phone/Fax

Practice location:
  • Phone: 330-379-5959
  • Fax:
Mailing address:
  • Phone: 330-379-5959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number35.122426
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number44659
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: