Individual
KETAN DAVAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 MINNESOTA DR STE 500, EDINA, MN 55435-7979
(952) 595-1301
(612) 294-4903
Mailing address
3600 MINNESOTA DR STE 500, EDINA, MN 55435-7979
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
159312
MA
2085R0202X
Diagnostic Radiology Physician
MD.204391
LA
2085R0202X
Diagnostic Radiology Physician
ME100882
FL
Other
Enumeration date
05/17/2006
Last updated
01/15/2025
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