Individual
BIREN B. DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36849
KY
208M00000X
Hospitalist Physician
Primary
051925
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000300762
ANTHEM BCBS
—
05
—
003181958A
—
GA
01
—
0401851
UNITED HEALTHCARE
—
01
—
1171845
PASSPORT
—
05
—
200472280A
—
IN
01
—
203411900
USDOL
—
01
—
2440912000
PASSPORT ADVANTAGE
—
05
—
64059165
—
KY
01
—
7499402
AETNA
—
01
—
P00050427
RAILROAD MEDICARE
—
Enumeration date
01/20/2007
Last updated
01/30/2017
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