Shroff And Desai, M. D., P. C.

LBN: Douglas Medical Group
Shroff And Desai, M. D., P. C. is an health care organization with primary practice located at 6025 Professional Pkwy Suite 200, Douglasville GA 30134-5609. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Douglas Medical Group can be contacted via phone (770) 949-0555, or through Shroff, Girish I via phone (770) 949-0555.

Contact Information

Primary practice address
6025 Professional Pkwy Suite 200 Douglasville GA 30134-5609
Fax: (770) 949-4424
Website:
Authorized official contact:
Name: Shroff, Girish I Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 019103 Georgia
Other Service Providers / Specialist 174400000X 027530 Georgia
Other Service Providers / Specialist 174400000X 038955 Georgia
Other Service Providers / Specialist 174400000X RN070145 Georgia

Profile Details

NPI number 1104886316
LBN Legal business name Douglas Medical Group
DBA Doing business as Shroff And Desai, M. D., P. C.
Authorized official Shroff, Girish I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104886316 NPPES
Georgia MEDICAID 00305302B

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