MEDICARE: MS. SANGITA S. DESAI FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN262983	GA

General Provider Information

NPI Number	:	1235948290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANGITA S. DESAI FNP-C

Provider Business Mailing Address
First Line	:	182 ERIE PT
Second Line	:
City	:	HOSCHTON
State	:	GA
Zip	:	30548-4501
Country	:	US
Telephone Number	:	440-759-9358
Fax Number	:

Provider Business Practice Location Address
First Line	:	182 ERIE PT
Second Line	:
City	:	HOSCHTON
State	:	GA
Zip	:	30548-4501
Country	:	US
Telephone Number	:	440-759-9358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2025
Last Update Date	:	04/09/2025

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