Individual
MRS. NEENA DESAI GHOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 CRESCENT CENTER PARKWAY, KAISER PERMANENTE CRESCENT MEDICAL CENTER, TUCKER, GA 30084
(770) 496-3414
(215) 923-9186
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(215) 923-9186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
069119
GA
207Q00000X
Family Medicine Physician
MD446165
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2009
Last updated
03/17/2014
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