Provider Demographics
NPI:1609262138
Name:DAVE, BHARGAV ARVINDKUMAR
Entity Type:Individual
Prefix:
First Name:BHARGAV
Middle Name:ARVINDKUMAR
Last Name:DAVE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 FIELD HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1848
Mailing Address - Country:US
Mailing Address - Phone:248-416-3321
Mailing Address - Fax:888-789-2329
Practice Address - Street 1:13017 JESS PIRTLE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2855
Practice Address - Country:US
Practice Address - Phone:248-416-3321
Practice Address - Fax:888-789-2329
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1217440225100000X
MI5501015759225100000X
NY033650225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist