Individual
DR. VIBHOOTI HARSHAVARDHAN DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9735 N. 90TH PLACE, SUITE 301, SCOTTSDALE, AZ 85258-5068
(602) 953-9500
(602) 953-1782
Mailing address
9735 N. 90TH PLACE, SUITE 301, SCOTTSDALE, AZ 85258-5068
(602) 953-9500
(602) 953-1782
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
005629
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS9551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16247
BLUE CROSS BLUE SHIELD FL
FL
01
—
4295190001
PALMETTO
FL
01
—
P00262200
RAILROAD MEDICARE
FL
Enumeration date
07/07/2006
Last updated
04/27/2011
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