MEDICARE: DR. KAPIL J DAVE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01065266A	IN
2	207R00000X	Internal Medicine Physician	N1299	TX
3	208M00000X	Hospitalist Physician	N1299	TX

General Provider Information

NPI Number	:	1063677441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAPIL J DAVE M.D.

Provider Business Mailing Address
First Line	:	3827 BENDING KEY CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479
Country	:	US
Telephone Number	:	516-313-8331
Fax Number	:

Provider Business Practice Location Address
First Line	:	3827 BENDING KEY CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479
Country	:	US
Telephone Number	:	516-313-8331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2008
Last Update Date	:	08/11/2010

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