Individual
NIRAJ DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 MARTIN LUTHER KING JR BLVD, SUITE 200, MACON, GA 31201-3206
(478) 745-5455
(478) 745-2915
Mailing address
640 MARTIN LUTHER KING JR BLVD, SUITE 200, MACON, GA 31201-3206
(478) 745-5455
(478) 745-2915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66476
GA
207RN0300X
Nephrology Physician
Primary
66476
GA
Other
Enumeration date
05/20/2008
Last updated
07/06/2011
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