Anuj Sunil Desai, MD | |
970 Joe Frank Harris Pkwy Se Ste 260, Cartersville, GA 30120-2161 | |
(770) 607-1893 | |
Not Available |
Full Name | Anuj Sunil Desai |
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Gender | Male |
Speciality | Urology |
Location | 970 Joe Frank Harris Pkwy Se Ste 260, Cartersville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811351646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A177938 (California) | Secondary |
208800000X | Urology | 95673 (Georgia) | Primary |
Entity Name | Usc Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Mailing Address | Practice Location Address |
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Anuj Sunil Desai, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040 | Anuj Sunil Desai, MD 970 Joe Frank Harris Pkwy Se Ste 260, Cartersville, GA 30120-2161 Ph: (770) 607-1893 |
Jeffrey G Proctor, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 970 Joe Frank Harris Pkwy Se, Suite 260, Cartersville, GA 30120 Phone: 770-607-1893 Fax: 770-607-2930 | |
James Durward Black Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Courtyard Dr., Suite B, Cartersville, GA 30120 Phone: 770-386-1076 Fax: 770-606-0452 |