Individual
MOHAK P DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 536-2146
(770) 536-7895
Mailing address
PO BOX 2938, GAINESVILLE, GA 30503-2938
(770) 536-2146
(770) 536-7895
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
051128
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000958669N
—
GA
01
—
000958669P
MEDICAID URGENT CARE FRIENDSHIP
GA
01
—
93BFDXQ
MEDICARE PIN URGENT CARE FRIENDSHIP
GA
Enumeration date
06/16/2006
Last updated
03/08/2019
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