Individual
KAIRAVEE DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2376 CYPRESS CIRCLE STE 203, CONWAY, SC 29526-8994
(843) 347-6038
(843) 347-9808
Mailing address
300 SINGLETON RIDGE RD, ATTN PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
85277
SC
390200000X
Student in an Organized Health Care Education/Training Program
132501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852777
—
SC
Enumeration date
04/03/2014
Last updated
09/21/2021
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