Individual
DR. JAYESH BHALUSHANKER DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 WALTER REED RD, FAYETTEVILLE, NC 28304-4437
(910) 323-4733
(910) 323-2097
Mailing address
1201 WALTER REED RD, FAYETTEVILLE, NC 28304-4437
(910) 323-4733
(910) 323-2097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27672
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
27672
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
TAXONOMY
NC
207RP1001X
Pulmonary Disease Physician
Primary
27672
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0430024
UNITED HEALTHCARE
NC
01
—
27150
BLUE CROSS & BLUE SHIELD
NC
05
—
8927150
—
NC
Enumeration date
11/08/2006
Last updated
04/30/2026
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