Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 052165 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | TRN8397 | FL |
Y | 207RI0011X | Interventional Cardiology | 52165 | GA |
NPI | 1114000767 |
---|---|
Provider Name | Dr. Aashish Kiran Desai |
First Address | Woodstock, GA 30189-1604 |
Second Address | Canton, GA 30115-8018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H95647 | (02) | GA |