Organization
ROCKDALE NEWTON HEMATOLOGY ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIL J DESAI MD (OWNER)
(770) 786-9499
Entity
Organization
Contact information
Practice address
4139 BAKER ST NE, COVINGTON, GA 30014-1405
(770) 786-9499
Mailing address
4139 BAKER ST NE, COVINGTON, GA 30014-1405
(770) 786-9499
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
035033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00588266C
—
GA
Enumeration date
03/07/2007
Last updated
08/06/2010
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