Provider Demographics
NPI:1407072499
Name:DAVE, SANDEEP P (MD)
Entity Type:Individual
Prefix:MR
First Name:SANDEEP
Middle Name:P
Last Name:DAVE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3100 SW 62ND AVE
Mailing Address - Street 2:SUITE 122
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3009
Mailing Address - Country:US
Mailing Address - Phone:786-624-3687
Mailing Address - Fax:305-662-8244
Practice Address - Street 1:3100 SW 62ND AVE
Practice Address - Street 2:SUITE 122
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3009
Practice Address - Country:US
Practice Address - Phone:786-624-3687
Practice Address - Fax:305-662-8244
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2012-10-13
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Provider Licenses
StateLicense IDTaxonomies
FLME97525207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology