Individual
PANKAJ K DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1543 FORD AVE, WYANDOTTE, MI 48192-2303
(734) 282-5012
(734) 282-7428
Mailing address
1543 FORD AVE, WYANDOTTE, MI 48192-2303
(734) 282-5012
(734) 282-7428
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PD035475
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0824411
BCBSM
MI
05
—
1398464
—
MI
01
—
A78410
HAP
MI
Enumeration date
09/27/2006
Last updated
07/08/2007
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