MR. ANIL J DESAI (NPI# 1578670071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578670071 |
| Entity Type | Individual |
| Full Name | MR. ANIL J DESAI |
| Credential | MD |
| Practice Address |
4139 Baker St Ne Covington GA 30014-1405 |
| Mailing Address |
3641 Highway 20 Se Suite A Conyers GA 30013-3064 |
| Practice Telephone | 7707869499 |
| Practice Fax Number | 7707869757 |
| Mailing Telephone | 7709181234 |
| Mailing Fax Number | 7709181235 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 035033 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
035033 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00588266C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508809757 | Anil I Desai | Internal Medicine | 8501 N Macarthur Blvd # 1148, Irving, TX 75063-4100 | 2006-06-14 |
| 1093102006 | Anil Desai | Internal Medicine | 20 Prospect Ave Ste 602, Hackensack, NJ 07601-1962 | 2015-04-17 |
| 1760404172 | Anil B Desai | Internal Medicine | 1901 Veterans Memorial Dr, Central Texas Veterans Health Care System, Temple, TX 76504-7451 | 2006-07-24 |
| 1013942556 | Anil Desai | Pathology | 6696 S Us Highway 1, Port St Lucie, FL 34952-1423 | 2006-07-12 |
| 1639177504 | Anil Desai | Radiology | 748 Kings Hwy, Woodbury, NJ 08096-3157 | 2005-07-13 |
| Street Address |
4139 BAKER ST NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578681102 | Anitha R Reddy | Dentist | 4139 Baker St Ne, Suite# 15, Covington, GA 30014-1405 | 2007-03-26 |
| 1609993955 | Covington Dental Care | Clinic/Center | 4139 Baker St Ne, Suite# 15, Covington, GA 30014-1405 | 2007-03-23 |
| 1336279140 | Rockdale Newton Hematology Oncology | Internal Medicine | 4139 Baker St Ne, Covington, GA 30014-1405 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528023843 | Jack E. Saux IIi | Internal Medicine | 1203 S Tyler St Ste 230, Covington, LA 70433-2353 | 2006-04-19 |
| 1932189016 | Sumathi Siva Smith | Internal Medicine | 1000 Ochsner Blvd., Covington, LA 70433-8107 | 2006-01-17 |
| 1871571588 | Victoria Lynn Afshani | Internal Medicine | 10157 Eagle Dr, Covington, GA 30014 | 2006-01-03 |
| 1669821864 | Northshore Oncology Associates, LLC | Internal Medicine | 1203 S Tyler St Ste 230, Covington, LA 70433-2353 | 2016-06-08 |
| 1326312448 | East Atlanta Hematology & Oncology LLC | Internal Medicine | 10157 Eagle Dr, Covington, GA 30014-3805 | 2012-03-07 |
| 1043518236 | Northshore Oncology Associates, LLC | Internal Medicine | 1203 S Tyler St, Ste 100, Covington, LA 70433-2353 | 2011-03-11 |
| 1336279140 | Rockdale Newton Hematology Oncology | Internal Medicine | 4139 Baker St Ne, Covington, GA 30014-1405 | 2007-03-07 |
| 1063458438 | Chris Theodossiou | Internal Medicine | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2006-06-22 |
| 1427014638 | Greg A. Bizette | Internal Medicine | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2006-04-25 |
| 1508821372 | James E. Carinder | Internal Medicine | 1203 S Tyler St, Ste 100, Covington, LA 70433-2353 | 2006-04-17 |
| Find all providers in COVINGTON | ||||
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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.