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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497799944 | NPPES |
| California | MEDICAID | 00C418760 |
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