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NPI Code Detail

MEDICARE: DR. PUJAN BHAVIN DAVE MD

MEDICARE: DR. PUJAN BHAVIN 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
1207WX0009XGlaucoma Specialist (Ophthalmology) Physician2022-02136NC
2207W00000XOphthalmology Physician2022-02136NC

General Provider Information

NPI Number : 1467842542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PUJAN BHAVIN DAVE MD
Provider Business Mailing Address
First Line : PO BOX 60160
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0160
Country : US
Telephone Number : 704-365-0555
Fax Number : 704-367-8122
Provider Business Practice Location Address
First Line : 135 S SHARON AMITY RD STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-3870
Country : US
Telephone Number : 704-365-0555
Fax Number : 704-365-8122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2015
Last Update Date : 06/10/2026

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Directions to “ DR. PUJAN BHAVIN DAVE MD” Practice Location

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