Desai, Anil J

Desai, Anil J is an sole proprietor health care provider with primary practice located at 4139 Baker St Ne , Covington GA 30014-1405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Desai, Anil J can be contacted via phone (770) 786-9499.

Contact Information

Primary practice address
4139 Baker St Ne Covington GA 30014-1405
Fax: (770) 786-9757
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 035033 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 035033 Georgia

Profile Details

NPI number 1578670071
LBN Legal business name Desai, Anil J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Feb 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578670071 NPPES
Georgia MEDICAID 00588266C

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