Individual
DR. AMISH S DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
Mailing address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A87687
CA
207R00000X
Internal Medicine Physician
N5005
TX
207RC0000X
Cardiovascular Disease Physician
N5005
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
N5005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861541922
BLUE CROSS BLUE SHIELD
TX
05
—
211285601
—
TX
05
—
211285602
—
TX
05
—
211285603
—
TX
05
—
211285609
—
TX
01
—
8CG506
BCBS
TX
01
—
P00849863
MEDICARE RAILROAD
TX
01
—
P01039321
RR MEDICARE
TX
Enumeration date
01/09/2007
Last updated
10/19/2017
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