Healthcare Provider Details

I. General information

NPI: 1821222738
Provider Name (Legal Business Name): YOGITA TAILOR DESAI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YOGITA TAILOR DO

II. Dates (important events)

Enumeration Date: 05/06/2009
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 JOHNSON FERRY RD STE 235
SANDY SPRINGS GA
30342-1733
US

IV. Provider business mailing address

101 AUSTIN DR
ATLANTA GA
30328-4137
US

V. Phone/Fax

Practice location:
  • Phone: 678-820-5142
  • Fax: 404-232-7459
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number069647
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: