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NPI Code Detail

MEDICARE: DR. KAVITA P. DAVE DO

MEDICARE: DR. KAVITA P. DAVE DO
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
1207Q00000XFamily Medicine PhysicianCO-41808CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AR667758OTHERCOBCBS ID NUMBER

General Provider Information

NPI Number : 1386649051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAVITA P. DAVE DO
Provider Business Mailing Address
First Line : 6505 S MANTHEY RD
Second Line :
City : FRENCH CAMP
State : CA
Zip : 95231-9518
Country : US
Telephone Number : 8-382-8387
Fax Number :
Provider Business Practice Location Address
First Line : 6505 S MANTHEY RD
Second Line :
City : FRENCH CAMP
State : CA
Zip : 95231-9518
Country : US
Telephone Number : 800-382-8387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 05/15/2025

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