Individual
KRUPA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(678) 630-9164
(770) 219-6021
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63413
GA
207R00000X
Internal Medicine Physician
ME 97547
FL
208M00000X
Hospitalist Physician
Primary
63413
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278328200
—
TX
Enumeration date
04/03/2007
Last updated
02/26/2021
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