Rajesh B.dave,md,pa | |
6424 Embassy Blvd Ste A Port Richey FL 34668-4980 | |
(727) 848-0247 | |
(727) 841-6351 |
Full Name | Rajesh B.dave,md,pa |
---|---|
Speciality | Internal Medicine |
Location | 6424 Embassy Blvd Ste A, Port Richey, Florida |
Authorized Official Name and Position | Rajesh B Dave (PRESIDENT) |
Authorized Official Contact | 7278480247 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rajesh B.dave,md,pa 6424 Embassy Blvd Ste A Port Richey FL 34668-4980 Ph: (727) 848-0247 | Rajesh B.dave,md,pa 6424 Embassy Blvd Ste A Port Richey FL 34668-4980 Ph: (727) 848-0247 |
NPI Number | 1619020989 |
---|---|
Provider Enumeration Date | 01/19/2007 |
Last Update Date | 03/16/2022 |
Medicare PECOS PAC ID | 8022290337 |
---|---|
Medicare Enrollment ID | O20110308000645 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619020989 | NPI | - | NPPES |
256173500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0063067 (Florida) | Primary |
Provider Name | Rajesh B Dave |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114982014 PECOS PAC ID: 3476735788 Enrollment ID: I20110308000663 |
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