Individual
DR. MITUL N DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9055 CHEVROLET DRIVE, SUITE 103, ELLICOTT CITY, MD 21042
(410) 465-7950
(410) 465-3716
Mailing address
9055 CHEVROLET DRIVE, SUITE 103, ELLICOTT CITY, MD 21043
(410) 465-7850
(410) 465-3713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
057313
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374000500
—
MD
Enumeration date
10/11/2006
Last updated
04/24/2014
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