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Contact Information

AMISH M DAVE, MD
100 MEDICAL DR
LAKE JACKSON, TX77566
 Phone: 979-297-4411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for AMISH M DAVE · (Male)

NPI # 1477767127
Status Active
Credentials MD
Entity Individual
Enumeration date 05/10/2007
Last updated 08/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M1068
Hospital affiliation(s)
  • BRAZOSPORT REGIONAL HEALTH SYSTEM - (Acute Care)
    100 MEDICAL DRIVE
    LAKE JACKSON, TX 77566
  • UNIVERSITY OF TEXAS MEDICAL BRANCH GAL - (Acute Care)
    301 UNIVERSITY BOULEVARD
    GALVESTON, TX 77555
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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