Individual
DR. KETAKI B. DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3720 S I-35 E, DENTON, TX 76210-6857
(970) 382-1022
(970) 380-7947
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J1645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173620902
—
TX
05
—
173620903
—
TX
01
—
8W1132
BLUE CROSS OF TEXAS
TX
Enumeration date
11/14/2005
Last updated
05/02/2008
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