Healthcare Provider Details

I. General information

NPI: 1659803583
Provider Name (Legal Business Name): ROHAN DESAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 FOSTER DR STE B
MCDONOUGH GA
30253-5346
US

IV. Provider business mailing address

156 FOSTER DR STE B
MCDONOUGH GA
30253-5346
US

V. Phone/Fax

Practice location:
  • Phone: 770-506-4119
  • Fax:
Mailing address:
  • Phone: 770-506-4119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number25MA12048500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberA179409
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number324004
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number113856
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: