Provider Demographics
NPI:1417228453
Name:DANVE, ABHIJEET SHRIKRISHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ABHIJEET
Middle Name:SHRIKRISHNA
Last Name:DANVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11322 FRANKLIN PLZ APT 915
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4816
Mailing Address - Country:US
Mailing Address - Phone:646-704-2307
Mailing Address - Fax:
Practice Address - Street 1:11322 FRANKLIN PLZ APT 915
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4816
Practice Address - Country:US
Practice Address - Phone:646-704-2307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NETEP7176207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program