IndividualActive
Ketan Desai, MD
NPI 1689809535 · Allergy & Immunology Physician · Colquitt, GA
Provider details
- NPI number
- 1689809535
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 105102 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
209 N Cuthbert St
Colquitt, GA 39837-3518
Phone: (229) 281-6096
Fax: (229) 281-6097
Approximate (ZIP-level) locationGet directions
Mailing address
209 N Cuthbert St
Colquitt, GA 39837-3518
Additional practice locations (1)
- 208 N Cuthbert StColquitt, GA 39837-3517Phone: (229) 758-3304Fax: (229) 758-6622
Registry dates
- Enumerated
- 2009-05-21
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.