Individual
VIJAY DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E 86TH PL, MERRILLVILLE, IN 46410-6258
(219) 756-1400
(219) 756-0876
Mailing address
200 E 86TH PL, MERRILLVILLE, IN 46410-6258
(219) 756-1400
(219) 756-0876
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01026051
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167650
—
IN
Enumeration date
09/23/2005
Last updated
12/08/2009
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