| East Metro Internal Medicine | |
|
3641 Highway 20 Se Suite A Conyers GA 30013-3064 | |
| (770) 918-1234 | |
| (770) 918-1235 |
| Full Name | East Metro Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 3641 Highway 20 Se, Conyers, Georgia |
| Authorized Official Name and Position | Roopal Anil Desai (OWNER) |
| Authorized Official Contact | 7709181234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Metro Internal Medicine 3641 Highway 20 Se Suite A Conyers GA 30013-3064 Ph: (770) 918-1234 | East Metro Internal Medicine 3641 Highway 20 Se Suite A Conyers GA 30013-3064 Ph: (770) 918-1234 |
| NPI Number | 1386735066 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8820084387 |
|---|---|
| Medicare Enrollment ID | O20040421001344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386735066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roopal A Desa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245345883 PECOS PAC ID: 1153503057 Enrollment ID: I20120105000719 |
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