MEDICARE: DR. KAMLESH NANDLAL DAVE M.D.,F.A.C.C.

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
1	207RC0000X	Cardiovascular Disease Physician	0101042899	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780687863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMLESH NANDLAL DAVE M.D.,F.A.C.C.

Provider Business Mailing Address
First Line	:	5303 PLAZA DR
Second Line	:	STE 102
City	:	HOPEWELL
State	:	VA
Zip	:	23860-7331
Country	:	US
Telephone Number	:	804-541-3800
Fax Number	:	804-541-3817

Provider Business Practice Location Address
First Line	:	5303 PLAZA DR
Second Line	:	STE 102
City	:	HOPEWELL
State	:	VA
Zip	:	23860-7331
Country	:	US
Telephone Number	:	804-541-3800
Fax Number	:	804-541-3817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	12/27/2024

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