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Individual
PINAKINPRASAD K DAVE
Active
Individual
PINAKINPRASAD K DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036055316
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01033343 A
INDIANA LICENSE
IL
05
—
036055316
—
IL
01
—
21608909
BCBS
IL
01
—
2246356
CIGNA
IL
01
—
363165098
TAX ID
IL
Enumeration date
08/28/2006
Last updated
03/14/2015
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