Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0039939 | MD |
Y | 111NI0900X | Internist | D0039939 | MD |
N | 207RH0000X | Hematologist | D39939 | MD |
NPI | 1275683062 |
---|---|
Provider Name | Dr. Harish Pranial Dave |
First Address | Glen Allen, VA 23060-9263 |
Second Address | Rockville, MD 20852-1133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F33560 | (02) |