Individual
DR. MANEESH DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, MPH
Contact information
Practice address
3160 FOLSOM BLVD, SACRAMENTO, CA 95816-5202
(216) 844-1995
Mailing address
4150 V ST # 3500, SACRAMENTO, CA 95817-1460
(916) 734-3751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090639
MI
207RG0100X
Gastroenterology Physician
Primary
160563
CA
207RG0100X
Gastroenterology Physician
35.124209
OH
207RG0100X
Gastroenterology Physician
53306
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
OH
Enumeration date
03/23/2009
Last updated
02/21/2020
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