Individual
DR. PRANAV JITENDRA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
Mailing address
1477 BELFAIRE LAKE TRL, DACULA, GA 30019-6785
(678) 749-4700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
67412
GA
207P00000X
Emergency Medicine Physician
A142981
CA
207P00000X
Emergency Medicine Physician
S2283
TX
Other
Enumeration date
03/26/2009
Last updated
02/12/2020
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