Individual
DR. KETAN DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 281-6096
(229) 281-6097
Mailing address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 281-6096
(229) 281-6097
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
105102
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105102
GEORGIA LICENSE
GA
Enumeration date
05/21/2009
Last updated
06/20/2025
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