Individual
DR. AMAR HARSHAD DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4245 WINBOURNE AVE, BATON ROUGE, LA 70805-6062
(225) 357-2248
(225) 357-0158
Mailing address
751 MIRABELLA LN, COVINGTON, LA 70433-0882
(225) 439-1946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.204628
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1087254
—
LA
Enumeration date
06/16/2008
Last updated
12/14/2020
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