Individual
HITARTH SHAILESH DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
615 S PRESTON ST, LOUISVILLE, KY 40202-1715
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101253411
VA
207RN0300X
Nephrology Physician
49181
KY
390200000X
Student in an Organized Health Care Education/Training Program
0101253411
VA
390200000X
Student in an Organized Health Care Education/Training Program
GETP.200733
LA
Other
Enumeration date
06/28/2010
Last updated
01/25/2023
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