| 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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