MEDICARE: DR. NILESH B DAVE MD

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	207RP1001X	Pulmonary Disease Physician	M3511	TX
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	M3511	TX
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	M3511	TX

General Provider Information

NPI Number	:	1316983364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NILESH B DAVE MD

Provider Business Mailing Address
First Line	:	4916 ALLENCREST LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-7711
Country	:	US
Telephone Number	:	214-217-1911
Fax Number	:	972-534-1656

Provider Business Practice Location Address
First Line	:	12221 MERIT DR STE 1500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75251-2235
Country	:	US
Telephone Number	:	214-217-1911
Fax Number	:

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

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	01/29/2018

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