Jaimini A Dave, MD is a
Pain Medicine - Pain Medicine physician based in Austell, Georgia. Jaimini A Dave is licensed to practice in Georgia (license number 041103) and his current practice location is 3870 Medical Park Drive Suite 200, Austell, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 948-6824.
NPI number for Jaimini A Dave is 1861504417 and his current mailing address is P.o. Box 629, Austell, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861504417.
Physician's Profile
| Full Name | Jaimini A Dave |
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| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 3870 Medical Park Drive Suite 200, Austell, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861504417
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 01/24/2011
Medical Identifiers
Medical identifiers for Jaimini A Dave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861504417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 041103 (Georgia) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 041103 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaimini A Dave is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jaimini A Dave, MD
P.o. Box 629,
Austell, GA 30168-1006
Ph: (770) 948-6824 | Jaimini A Dave, MD
3870 Medical Park Drive Suite 200,
Austell, GA 30106-1110
Ph: (770) 948-6824 |
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