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1528591716
SHIVAM DESAI
DOUGLASVILLE, GA
NPI
1528591716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 83654)
Enumeration Date
2017-04-05
Last Update Date
2023-03-25
Business Address
SHIVAM DESAI MD
4904 TIMBER RIDGE DR STE 102
DOUGLASVILLE, GA 30135-1831
Phone number: 678-401-4597
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Mailing Address
SHIVAM DESAI MD
4650 SMOKESTONE DR
DOUGLASVILLE, GA 30135-4989
Phone number: 678-521-0935
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