NPI
Nutan Desai
NPI 1205955481
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- O.D.
- Type
- Individual
- Enumeration date
- 2007-03-28
- Last updated
- 2025-09-10
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Specialties
Licenses
- License GA
- GA 01885
Location
- Practice location
- 3130 Mathis Airport Pkwy Ste 308
- City
- Suwanee GA
- Postal code
- 30024-9132
- Phone
- (770) 574-6090
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Suwanee, GA. 2,095 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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