Individual
HAVYA ANKLESHKUMAR DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2280 OPITZ BLVD STE 250, WOODBRIDGE, VA 22191-3362
(703) 523-1720
Mailing address
208 MEDICAL PARK BLVD, BRISTOL, TN 37620-7343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101267015
VA
Other
Enumeration date
04/05/2016
Last updated
11/05/2024
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