Individual
DR. MAHESH R DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201D BRIARCREST DR, BRYAN, TX 77802-5223
(979) 776-5600
(979) 776-6280
Mailing address
1201D BRIARCREST DR, BRYAN, TX 77802-5223
(979) 776-5600
(979) 704-5461
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F8457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099470901
—
TX
01
—
742192073
TAX ID
TX
Enumeration date
08/01/2006
Last updated
10/13/2021
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