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NPI Code Detail

MEDICARE: DR. CHIRAG NIRANJAN DAVE M.D.

MEDICARE:  DR. CHIRAG NIRANJAN 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
1208800000XUrology PhysicianD0084896MD
2208800000XUrology Physician83029GA

General Provider Information

NPI Number : 1205273091
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHIRAG NIRANJAN DAVE M.D.
Provider Business Mailing Address
First Line : 1551 JANMAR RD
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-5606
Country : US
Telephone Number : 678-344-8900
Fax Number : 678-691-0506
Provider Business Practice Location Address
First Line : 1371 CHURCH STREET EXT NE STE 200
Second Line :
City : MARIETTA
State : GA
Zip : 30060-7913
Country : US
Telephone Number : 678-344-8900
Fax Number : 678-666-5201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2013
Last Update Date : 04/26/2024

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Directions to “ DR. CHIRAG NIRANJAN DAVE M.D.” Practice Location

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