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Individual

NISHI DAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 788-0000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
01071626A
IN
207ZP0101X
Anatomic Pathology Physician
01071626A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01071626A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
244709
NY

Other

Enumeration date
07/31/2007
Last updated
07/14/2022
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