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DOUGLAS MEDICAL GROUP NPI 1104886316


NPI Information

NPI: 1104886316
Provider Name: DOUGLAS MEDICAL GROUP

Former Legal Business Name: SHROFF AND DESAI, M. D., P. C.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6025 PROFESSIONAL PKWY
SUITE 200
DOUGLASVILLE, GA
ZIP 30134
Phone: (770) 949-0555
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DOUGLAS MEDICAL GROUP is a specialist in Douglasville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DOUGLAS MEDICAL GROUP NPI is 1104886316. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Shroff And Desai, M. D., P. C..

The provider's business location address is:

6025 PROFESSIONAL PKWY
SUITE 200
DOUGLASVILLE, GA
ZIP 30134-609
Phone: (770) 949-0555
Fax: (770) 949-4424

The provider's authorized official is Girish I Shroff .
The authorized official title is President and has the following contact phone number (770) 949-0555.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist027530GEORGIANo
2174400000XSpecialist038955GEORGIANo
3174400000XSpecialistRN070145GEORGIANo
4174400000XSpecialist019103GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100305302BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.