MEDICARE: DR. MAYA DESAI MD

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	207W00000X	Ophthalmology Physician	4351050239	MI

General Provider Information

NPI Number	:	1801535463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAYA DESAI MD

Provider Business Mailing Address
First Line	:	1365 CLIFTON RD NE FL 3
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1365 CLIFTON RD NE FL 3
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-778-2020
Fax Number	:

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

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	06/18/2026

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