Individual
DR. KETAN N. DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3820 MEDICAL PARK DR, SUITE 2200, AUSTELL, GA 30106-1110
(770) 941-7741
(770) 941-7196
Mailing address
3820 MEDICAL PARK DR, SUITE 2200, AUSTELL, GA 30106-1110
(770) 941-7196
(770) 941-7196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57600
GA
207RC0000X
Cardiovascular Disease Physician
Primary
057600
GA
207UN0901X
Nuclear Cardiology Physician
057600
GA
Other
Enumeration date
05/26/2006
Last updated
05/03/2023
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