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 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is 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
Phone: (770) 949-0555
Fax: (770) 949-4424
Website:
Map and Directions
Authorized official contact:
Name: Shroff, Girish I Doctor of Medicine (MD)
Phone: (770) 949-0555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 019103 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 027530 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 061515 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN167533 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN095208 Georgia

Profile Details

NPI number 1992929186
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 Apr 12th, 2007
Last updated Jul 8th, 2010 - about 14 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 1992929186 NPPES
Georgia MEDICAID 00305302B
Georgia MEDICAID 452595412D
Georgia MEDICAID 000137827B
Georgia MEDICAID 002528159A

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