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Individual

DR. AJIT M DAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3327 COLORADO BLVD, SUITE #200, DENTON, TX 76210-6865
(940) 382-4060
(940) 380-9282
Mailing address
3327 COLORADO BLVD, SUITE #200, DENTON, TX 76210-6865
(940) 382-4060
(940) 380-9282

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G8687
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0020EC
BLUE CROSS BLUE SHIELD
TX
01
0800070588
RAILROAD MEDICARE
TX
05
121386005
TX
Enumeration date
11/14/2005
Last updated
06/05/2013
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