Organization
NITIN R DESAI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN R. DESAI M.D. (ADMINISTRATOR)
(706) 576-4600
Entity
Organization
Contact information
Practice address
2410 DOUBLE CHURCHES RD., SUITE A, COLUMBUS, GA 31909
(706) 576-4600
(706) 576-4509
Mailing address
2410 DOUBLE CHURCHES RD., SUITE A, COLUMBUS, GA 31909
(706) 576-4600
(706) 576-4509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042810
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00733994B
—
GA
Enumeration date
08/29/2006
Last updated
10/29/2010
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