Nisha Pranav Desai, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Farmington Hills, Michigan. Her current practice location is
28050 Grand River Ave, Farmington Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at
(947) 521-8399.
Nisha Pranav Desai is licensed to practice in Michigan (license number 5315256765) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770370116.
Physician's Profile
Full Name | Nisha Pranav Desai |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 28050 Grand River Ave, Farmington Hills, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770370116
- Provider Enumeration Date: 04/21/2025
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 4688191307
- Enrollment ID: I20250506003655
Medical Identifiers
Medical identifiers for Nisha Pranav Desai such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770370116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 5315256765 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 5315256765 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nisha Pranav Desai is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nisha Pranav Desai, DO 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (947) 521-8399 | Nisha Pranav Desai, DO 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (947) 521-8399 |
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