| Nitin R Desai Md Pc | |
|
2410 Double Churches Rd. Suite A Columbus GA 31909 | |
| (706) 576-4600 | |
| (706) 576-4509 |
| Full Name | Nitin R Desai Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2410 Double Churches Rd., Columbus, Georgia |
| Authorized Official Name and Position | Nitin R. Desai (ADMINISTRATOR) |
| Authorized Official Contact | 7065764600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nitin R Desai Md Pc 2410 Double Churches Rd. Suite A Columbus GA 31909 Ph: (706) 576-4600 | Nitin R Desai Md Pc 2410 Double Churches Rd. Suite A Columbus GA 31909 Ph: (706) 576-4600 |
| NPI Number | 1376651216 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 10/29/2010 |
| Medicare PECOS PAC ID | 6507931789 |
|---|---|
| Medicare Enrollment ID | O20080822000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376651216 | NPI | - | NPPES |
| 00733994B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042810 (Georgia) | Primary |
| Provider Name | Nitin R Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497926430 PECOS PAC ID: 0648356956 Enrollment ID: I20080327000256 |
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