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NPI Code Detail

MEDICARE: PRIYANKA DAVE

MEDICARE: PRIYANKA DAVE
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1811743032
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRIYANKA DAVE
Provider Business Mailing Address
First Line : 309 E 2ND ST
Second Line :
City : POMONA
State : CA
Zip : 91766-1854
Country : US
Telephone Number : 909-469-5589
Fax Number :
Provider Business Practice Location Address
First Line : 1900 E 4TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3910
Country : US
Telephone Number : 714-967-4736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2024
Last Update Date : 04/07/2026

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Directions to “ PRIYANKA DAVE ” Practice Location

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