Individual
DR. MANISHA HARPAVAT DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6300 W PARKER RD, SUITE 424, PLANO, TX 75093-8100
(972) 265-8222
(972) 265-8224
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
M4020
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8EE626
BCBSTX
TX
01
—
8G9574
BCBSTX
TX
01
—
M4020
MEDICAL LICENSE
TX
Enumeration date
02/07/2006
Last updated
08/18/2015
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