SHIVAM DESAI

DOUGLASVILLE, GA
NPI1528591716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  83654)
Enumeration Date2017-04-05
Last Update Date2023-03-25
Business Address
SHIVAM DESAI MD
4904 TIMBER RIDGE DR STE 102
DOUGLASVILLE, GA 30135-1831
Phone number: 678-401-4597
Mailing Address
SHIVAM DESAI MD
4650 SMOKESTONE DR
DOUGLASVILLE, GA 30135-4989
Phone number: 678-521-0935
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