Individual
DR. RAJESH MUKUNDRAI DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 POPLAR CHURCH RD, SUITE 400, CAMP HILL, PA 17011-2203
(717) 724-6450
(717) 724-6451
Mailing address
205 GRANDVIEW AVE, SUITE 210, CAMP HILL, PA 17011-1708
(717) 724-6450
(717) 724-6451
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD063617L
PA
207RI0011X
Interventional Cardiology Physician
MD063617L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018507080001
—
PA
01
—
060067311
RAILROAD MEDICARE
—
Enumeration date
05/23/2005
Last updated
06/01/2021
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