Individual
KOOSH DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 442-1800
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 442-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
008915
GA
Other
Enumeration date
07/15/2016
Last updated
07/28/2023
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