Desai, Anish A

Desai, Anish A is an individual health care provider with primary practice located at 6002 Professional Pkwy Ste 200 , Douglasville GA 30134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Desai, Anish A can be contacted via phone (678) 741-5000.

Contact Information

Primary practice address
6002 Professional Pkwy Ste 200 Douglasville GA 30134
Phone: (678) 741-5000
Fax: (770) 874-0528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 054483 Georgia
Other Service Providers / Specialist 174400000X 054483 Georgia

Profile Details

NPI number 1437122710
LBN Legal business name Desai, Anish A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated May 31st, 2018 - about 6 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 1437122710 NPPES
Georgia MEDICAID 266365482A

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