Individual
DEEPAK DAVE
Active
Individual
DEEPAK DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD040293L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011614630003
—
PA
01
—
073625
FIRST PRIORITY HEALTH
—
01
—
111134
BLACK LUNG
—
01
—
180039776
RAILROAD MEDICARE
—
01
—
202616
EEOICP
—
01
—
34225
GEISINGER HEALTH PLAN
—
01
—
510552
BLUE CROSS / BLUE SHIELD
—
Enumeration date
08/09/2005
Last updated
11/22/2011
Update your record
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