Provider Demographics
NPI:1255525390
Name:DAVE, NIMISH RAJESH (MD)
Entity type:Individual
Prefix:DR
First Name:NIMISH
Middle Name:RAJESH
Last Name:DAVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1332 PIN OAK RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6848
Mailing Address - Country:US
Mailing Address - Phone:713-714-7192
Mailing Address - Fax:
Practice Address - Street 1:1485 FM 1960 BYPASS RD E
Practice Address - Street 2:STE 360
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3964
Practice Address - Country:US
Practice Address - Phone:281-783-6856
Practice Address - Fax:866-273-2698
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5268207L00000X, 208VP0000X
MA233307207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology