Dattesh Rajendra Dave
Plastic and Reconstructive Surgery
2335 Stockton Blvd 6th Floor, 6011-3
Sacramento
, California 95817
Dattesh Rajendra Dave
Plastic and Reconstructive Surgery
2335 Stockton Blvd 6th Floor, 6011-3
Sacramento
, California 95817
(916) 734-7289
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dattesh Rajendra Dave
- 2335 Stockton Blvd 6th Floor, 6011-3
- Sacramento, CA
- Zip : 95817
- Phone : (916) 734-7289
Second Address
- Dattesh Rajendra Dave
- 2335 Stockton Blvd 6th Floor, 6011-3
- Sacramento, CA
- Zip : 95817
- Phone : (916) 734-7289
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | A147311 | CA |
National Provider Identifier
| NPI | 1225302516 |
|---|---|
| Provider Name | Dattesh Rajendra Dave |
| First Address | Sacramento, CA 95817 |
| Second Address | Sacramento, CA 95817 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2012 |
| Last Update Date | 29/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.