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Individual
PANKAJ B. DAVE
Active
Individual
PANKAJ B. DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
C03508
MD
363A00000X
Physician Assistant
C03508
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068692
NCCPA
MD
01
—
C03508
LICENSE
MD
Enumeration date
09/12/2007
Last updated
10/21/2019
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