Individual
AMITKUMAR V DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 601936, CHARLOTTE, NC 28260-1936
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101244202
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124277231
—
VA
Enumeration date
09/12/2008
Last updated
10/28/2020
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