Dave, Indravadan

Dave, Indravadan is an sole proprietor health care provider with primary practice located at 2090 Jericho Tpke , New Hyde Park NY 11040-4719. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Dave, Indravadan can be contacted via phone (513) 352-7828.

Contact Information

Primary practice address
2090 Jericho Tpke New Hyde Park NY 11040-4719
Phone: (513) 352-7828
Fax: (516) 352-7827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C41876 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C41876 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X 109643 New York

Profile Details

NPI number 1497799944
LBN Legal business name Dave, Indravadan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Feb 14th, 2023 - about 2 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 1497799944 NPPES
California MEDICAID 00C418760

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