Prakash V Desai
M.D. | Pediatric Adolescent Medicine | Male
Prakash V Desai, M.D. is a Austell, Georgia based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Prakash V Desai is
1664 Mulkey Rd, Austell, Georgia - 30106-1114. He can be contacted on phone at
770-941-7709 and fax number 770-941-6441.
Prakash V Desai is a sole proprietor of his business.
NPI number (Unique professional ID) for Prakash V Desai is
1750366472 which was assigned by NPPES on 15 Dec, 2005 and it was last updated on 15 Sep, 2011.
Prakash V Desai license number is
018482 for Pediatrics Adolescent Medicine (2080A0000X) in Georgia.
Prakash V Desai specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Prakash V Desai basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Prakash V Desai |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Prakash V Desai address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1664 Mulkey Rd
Austell, GA, 30106-1114
United States |
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| Phone Number : | 770-941-7709 |
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| Fax Number : | 770-941-6441 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750366472 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Dec, 2005 |
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| Last Updated On : | 15 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prakash V Desai are as mentioned. Primary taxonomy code for Prakash V Desai, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 018482 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Prakash V Desai such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00132877A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1664 Mulkey Rd
Austell, GA, 30106-1114
United States |
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| Phone Number : | 770-941-7709 |
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| Fax Number : | 770-941-6441 |
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Business Location:
Patients can refer following map for directions to
Prakash V Desai practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.