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Individual

REKHA J. DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 OLD NORCROSS RD, STE A, LAWRENCEVILLE, GA 30046-4311
(770) 963-2474
(770) 963-2476
Mailing address
601 OLD NORCROSS RD, STE A, LAWRENCEVILLE, GA 30046-4311
(770) 963-2474
(770) 963-2476

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19665
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19665
MD LICENSE
GA
Enumeration date
09/02/2006
Last updated
02/16/2011
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