PRAKASH V DESAI (NPI# 1750366472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750366472 |
| Entity Type | Individual |
| Full Name | PRAKASH V DESAI |
| Credential | M.D. |
| Practice Address |
1664 Mulkey Rd Austell GA 30106-1114 |
| Practice Telephone | 7709417709 |
| Practice Fax Number | 7709416441 |
| Mailing Telephone | 7709417709 |
| Mailing Fax Number | 7709416441 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
018482 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00132877A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477759975 | Prakash Desai | Psychiatry & Neurology | 3565 Del Amo Blvd, 200, Torrance, CA 90503-1637 | 2007-06-22 |
| 1346231750 | Prakash K Desai | Internal Medicine | 1901 Port Ln, Amarillo, TX 79106-1736 | 2005-11-03 |
| Street Address |
1664 MULKEY RD |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417932567 | Laurie Eileen Bivins | Registered Nurse | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2005-12-13 |
| 1225398175 | Kevin Chapla | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2012-05-25 |
| 1487941597 | Abdalsamih Taeb | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2011-07-09 |
| 1659515864 | Nidhi Gupta Huff | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106 | 2009-05-01 |
| 1538327937 | Aseem Shrivastava | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2008-06-02 |
| 1497947220 | Ragheed Alturkmani | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106 | 2007-08-15 |
| 1225240179 | Jody Michael Hughes | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106 | 2007-05-04 |
| 1992863385 | Sylvonne Kenyatta Cox | Physician Assistant | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2006-12-05 |
| 1508946526 | Kathryn M Mcminn | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106 | 2006-10-16 |
| 1093792400 | Faye E. Spector Maloney | Pediatrics | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467522136 | Richard Ralph Kaiser | Pediatrics | 1676 Mulkey Rd, Suite C, Austell, GA 30106-1170 | 2006-11-09 |
| 1427128107 | John C Warner Jr. | Pediatrics | 1676 Mulkey Rd, Suite C, Austell, GA 30106-1170 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427616515 | Pedsnow LLC | Pediatrics | 863 W Oglethorpe Hwy Ste 220, Hinesville, GA 31313-4491 | 2019-06-03 |
| 1073885828 | Middle Georgia Pediatrics | Pediatrics | 1508 Hardeman Ave Ste B, Macon, GA 31201-1471 | 2012-02-08 |
| 1003184409 | Greer Gadsden Larned, M.d., P.C., Faap | Pediatrics | 3802 Waters Ave, Savannah, GA 31404-6210 | 2011-12-13 |
| 1427333095 | Dahlonega Pediatric and Adolescent Medicine | Pediatrics | 1055 North Grove St., Dahlonega, GA 30533 | 2011-10-14 |
| 1770710824 | Children's Medicine of Rockdale | Pediatrics | 1765 Parker Rd Se, Suite B210, Conyers, GA 30094-6652 | 2009-06-16 |
| 1518110451 | Pedia Doc Children's Med Ctr | Pediatrics | 3088 Campbellton Rd Sw, Atlanta, GA 30311-5410 | 2008-10-23 |
| 1396929444 | Total Grace Pediatrics P.C. | Pediatrics | 900 N Hairston Rd # Rs, Suite A, Stone Mountain, GA 30083-2857 | 2007-12-26 |
| 1306060801 | Crystal M Edds | Pediatrics | 125b Victory Dr, Swainsboro, GA 30401-3234 | 2007-04-13 |
| 1962523639 | William P Bristol | Pediatrics | 3300 Fourth Street, Brunswick, GA 31520-3779 | 2007-04-02 |
| 1861527103 | Florida Selga Basilio | Pediatrics | 1519 13th Ave, Columbus, GA 31901-1908 | 2007-02-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.