Pankaj K Dave, MD is a
Pediatrics physician based in Wyandotte, Michigan. Pankaj K Dave is licensed to practice in Michigan (license number PD035475) and his current practice location is 1543 Ford Ave, Wyandotte, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 282-5012.
NPI number for Pankaj K Dave is 1851482780 and his current mailing address is 1543 Ford Ave, Wyandotte, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851482780.
Physician's Profile
| Full Name | Pankaj K Dave |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
|---|
| Location | 1543 Ford Ave, Wyandotte, Michigan |
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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: 1851482780
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Pankaj K Dave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851482780 | NPI | - | NPPES |
| 0824411 | Other | MI | BCBSM |
| 1398464 | Medicaid | MI | |
| A78410 | Other | MI | HAP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | PD035475 (Michigan) | 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. Pankaj K 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 |
|---|
Pankaj K Dave, MD
1543 Ford Ave,
Wyandotte, MI 48192-2303
Ph: (734) 282-5012 | Pankaj K Dave, MD
1543 Ford Ave,
Wyandotte, MI 48192-2303
Ph: (734) 282-5012 |
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