Individual
ANANT K DHAVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 BURNET RD, BROWNWOOD, TX 76801-8520
(325) 649-3307
(325) 645-5459
Mailing address
2403 N LAURENT ST, VICTORIA, TX 77901-4119
(361) 579-0315
(361) 579-0325
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
M6105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8V9071
BLUE CROSS
TX
Enumeration date
04/14/2006
Last updated
03/11/2008
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