Organization
NIRANJAN J DAVE MD PC
Active
Organization
NIRANJAN J DAVE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRANJAN J DAVE MD (OWNER)
(770) 944-2245
Entity
Organization
Contact information
Practice address
3825 MEDICAL PARK DR, SUITE 100, AUSTELL, GA 30106-6831
(770) 944-2245
(770) 944-1337
Mailing address
3825 MEDICAL PARK DR, SUITE 100, AUSTELL, GA 30106-6831
(770) 944-2245
(770) 944-1337
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
031232
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000405402D
—
GA
01
—
003114146A
MEDICAID PAYEE ID
—
Enumeration date
04/18/2012
Last updated
11/13/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up