Individual
PANKAJ B. DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7601 OSLER DRIVE, TOWSON, MD 21204-7582
(410) 337-1000
Mailing address
PO BOX 79035, BALTIMORE, MD 21279-0035
(410) 337-1386
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
C03508
MD
363A00000X
Physician Assistant
C03508
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068692
NCCPA
MD
01
—
C03508
LICENSE
MD
Enumeration date
09/12/2007
Last updated
10/21/2019
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