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NIRANJAN J DAVE MD PC NPI 1336406131


NPI Information

NPI: 1336406131
Provider Name: NIRANJAN J DAVE MD PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3825 MEDICAL PARK DR
SUITE 100
AUSTELL, GA
ZIP 30106
Phone: (770) 944-2245
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NIRANJAN J DAVE MD PC is a cardiovascular disease internal medicine in Austell, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NIRANJAN J DAVE MD PC NPI is 1336406131. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3825 MEDICAL PARK DR
SUITE 100
AUSTELL, GA
ZIP 30106-831
Phone: (770) 944-2245
Fax: (770) 944-1337

The provider's authorized official is Niranjan J Dave .
The authorized official title is Owner and has the following contact phone number (770) 944-2245.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 11/13/2013.


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
1207RC0000XInternal MedicineCardiovascular Disease031232GEORGIAYes

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
106BDBRSMEDICARE PIN
2003114146AOTHERMEDICAID PAYEE ID
3=========OTHERTID NUMBER
4000405402DMEDICAIDGEORGIA
5C47451MEDICARE UPIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.