Dave, Ajit M

Dave, Ajit M is an sole proprietor health care provider with primary practice located at 3327 Colorado Blvd Suite #200, Denton TX 76210-6865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Dave, Ajit M can be contacted via phone (940) 382-4060.

Contact Information

Primary practice address
3327 Colorado Blvd Suite #200 Denton TX 76210-6865
Fax: (940) 380-9282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G8687 Texas

Profile Details

NPI number 1043291347
LBN Legal business name Dave, Ajit M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Jun 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043291347 NPPES
Texas Other 0020EC BLUE CROSS BLUE SHIELD
Texas Other 0800070588 BLUE CROSS BLUE SHIELD
Texas MEDICAID 121386005 BLUE CROSS BLUE SHIELD

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