Individual
DR. KAILAS D DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FAAP
Contact information
Practice address
316 GOSHEN AVENUE, HAZLETON, PA 18201-0603
(570) 436-1635
(570) 434-1635
Mailing address
PO BOX 603, HAZLETON, PA 18201-0603
(570) 436-1635
(570) 436-1635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD044209L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012719660004
—
PA
01
—
001393
FIRST PRIORITY HEALTH
—
01
—
138534
MED PLUS UNISON
—
Enumeration date
01/12/2006
Last updated
02/10/2012
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