Provider Demographics
NPI:1124551213
Name:DESAI, YAANIK BINOY (MD)
Entity Type:Individual
Prefix:DR
First Name:YAANIK
Middle Name:BINOY
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3324 PEACHTREE RD NE
Mailing Address - Street 2:#1616
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326
Mailing Address - Country:US
Mailing Address - Phone:678-431-9037
Mailing Address - Fax:
Practice Address - Street 1:3324 PEACHTREE RD NE
Practice Address - Street 2:UNIT 1616
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1001
Practice Address - Country:US
Practice Address - Phone:678-431-9037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program