Provider Demographics
NPI:1568743680
Name:DAVE, KARTIKEYA P (MD)
Entity Type:Individual
Prefix:
First Name:KARTIKEYA
Middle Name:P
Last Name:DAVE
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1825 EASTCHESTER RD
Mailing Address - Street 2:DEPT OF MEDICINE, WEILER CAMPUS
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2301
Mailing Address - Country:US
Mailing Address - Phone:718-904-3101
Mailing Address - Fax:718-904-2827
Practice Address - Street 1:1825 EASTCHESTER RD
Practice Address - Street 2:DEPT OF MEDICINE, WEILER CAMPUS
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2301
Practice Address - Country:US
Practice Address - Phone:718-904-3101
Practice Address - Fax:718-904-2827
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2014-07-10
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT199590207R00000X
NY275841207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine