Desai, Mira

Desai, Mira is an individual health care provider with primary practice located at 1825 Rockbridge Rd Ste 15B , Stone Mountain GA 30087-3306. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Desai, Mira can be contacted via phone (470) 444-3134.

Contact Information

Primary practice address
1825 Rockbridge Rd Ste 15B Stone Mountain GA 30087-3306
Phone: (470) 444-3134
Fax: (470) 276-4370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 041426832 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN309281 Georgia

Profile Details

NPI number 1538559190
LBN Legal business name Desai, Mira
Credentials AGPCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2015
Last updated May 15th, 2023 - about last year

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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