Individual
ROOPAL ANIL DESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3641 HWY 20 SE, SUITE A, CONYERS, GA 30013
(770) 918-1234
(770) 918-1235
Mailing address
3641 HWY 20 SE, SUITE A, CONYERS, GA 30013
(770) 918-1234
(770) 918-1235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035034
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00624511B
—
GA
Enumeration date
08/21/2006
Last updated
12/14/2011
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