Healthcare Provider Details

I. General information

NPI: 1780947028
Provider Name (Legal Business Name): VISHANGI A DAVE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 08/14/2025
Certification Date: 02/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13041 N. DEL WEBB BLVD SUITE 200
SUN CITY AZ
85351
US

IV. Provider business mailing address

13041 N. DEL WEBB BLVD SUITE 200
SUN CITY AZ
85351
US

V. Phone/Fax

Practice location:
  • Phone: 623-832-0300
  • Fax: 623-285-2801
Mailing address:
  • Phone: 623-832-0300
  • Fax: 623-285-2801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number56569
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: