Provider Demographics
NPI:1780947028
Name:DAVE, VISHANGI A (MD)
Entity type:Individual
Prefix:
First Name:VISHANGI
Middle Name:A
Last Name:DAVE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:BANNER BOSEWELL MEDICAL CENTER -MD ANDERSON
Mailing Address - Street 2:10601 W. THUNDERBIRD BLVD
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351
Mailing Address - Country:US
Mailing Address - Phone:623-832-3444
Mailing Address - Fax:623-832-3470
Practice Address - Street 1:BANNER BOSEWELL MEDICAL CENTER -MD ANDERSON
Practice Address - Street 2:10601 W. THUNDERBIRD BLVD
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:623-832-3444
Practice Address - Fax:623-832-3470
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2021-02-03
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Provider Licenses
StateLicense IDTaxonomies
AZ56569207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology