Individual
RAJENDRA C. DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2145 SLATER MILL ROAD, DOUGLASVILLE, GA 30135-1205
(678) 715-3334
(678) 715-7477
Mailing address
2145 SLATER MILL ROAD, DOUGLASVILLE, GA 30135-1205
(678) 715-3334
(678) 715-7477
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
019253
GA
207RC0000X
Cardiovascular Disease Physician
Primary
19253
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000253228L
—
GA
Enumeration date
07/15/2005
Last updated
01/03/2011
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