Dave, Ketaki B.

Dave, Ketaki B. is an individual health care provider with primary practice located at 3720 S I-35 E , Denton TX 76210-6857. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Dave, Ketaki B. can be contacted via phone (970) 382-1022.

Contact Information

Primary practice address
3720 S I-35 E Denton TX 76210-6857
Phone: (970) 382-1022
Fax: (970) 380-7947
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X J1645 Texas

Profile Details

NPI number 1639151947
LBN Legal business name Dave, Ketaki B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated May 2nd, 2008 - about 16 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 1639151947 NPPES
Texas Other 8W1132 BLUE CROSS OF TEXAS
Texas MEDICAID 173620902 BLUE CROSS OF TEXAS
Texas MEDICAID 173620903 BLUE CROSS OF TEXAS

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