Fidel Desir, MD, PhD
Clinic/Center, Public Health, Federal in Atlanta, GA. Individual provider (NPI-1).
NPI number1508105545
StatusActive
Last updated in NPPESJun 22, 2023
Details
- NPI
- 1508105545
- Entity type
- Individual (NPI-1)
- Name
- Fidel Desir
- Credential
- MD, PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2013
- Certification date
- Jun 22, 2023
- Last updated
- Jun 22, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP0904X | Clinic/Center, Public Health, Federal | – | – | Yes |
Practice location
1600 Clifton Rd NeAtlanta, GA 30329-4018
Phone 404-498-0000
Mailing address
1600 Clifton Rd NeAtlanta, GA 30329-4018
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