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PRAFULL DAVE MD PA NPI 1881715472


NPI Information

NPI: 1881715472
Provider Name: PRAFULL DAVE MD PA
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
188 THOMAS JOHNSON DR
SUITE 200
FREDERICK, MD
ZIP 21702
Phone: (301) 695-6556
Get Directions

PRAFULL DAVE MD PA is a neurology with special qualifications in child neurology psychiatry neurology in Frederick, MD. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. PRAFULL DAVE MD PA NPI is 1881715472. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

188 THOMAS JOHNSON DR
SUITE 200
FREDERICK, MD
ZIP 21702-505
Phone: (301) 695-6556
Fax: (301) 695-5485

The provider's authorized official is Prafull Dave .
The authorized official title is President and has the following contact phone number (301) 695-6556.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 2/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyD20922MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D76348MEDICARE UPINMARYLAND
2SP02461MEDICARE PINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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