Individual
DR. NISHEDH NAYAN DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 367-3014
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101023488
MI
207R00000X
Internal Medicine Physician
Primary
93430
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101023488
STATE OF MICHIGAN
MI
Enumeration date
06/27/2017
Last updated
11/29/2022
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