Prafull K Dave


Address: 188 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-5181

Prafull K Dave (NPI# 1326008582, PAC ID# 6002868437) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.

Physician Overview

Nation Provider ID (NPI) 1326008582
PAC ID by PECOS 6002868437
Professional Enrollment ID I20110512000014
Full Name Prafull K Dave
Address 188 Thomas Johnson Dr
Suite 200
Frederick
MD 21702-5181
Gender M
Credential MD
Graduation Year 1975
Primary Specialty NEUROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210001 MERITUS MEDICAL CENTER

Other Locations

Address Phone Organization
188 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-5181

Organization Information

Office Location

Street Address 188 THOMAS JOHNSON DR
SUITE 200
City FREDERICK
State MD
Zip 21702-5181

Physicians in the same location

Name Specialty Organization Address
Oluwakemi O Osidele Nurse Practitioner 188 Thomas Johnson Dr, Suite 102, Frederick, MD 21702-5108

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Susan M Allig Certified Registered Nurse Anesthetist (crna) North American Partners In Anesthesia Maryland LLC 45 Thomas Jefferson Dr, Frederick, MD 21702
Alan S Bronstein Certified Registered Nurse Anesthetist (crna) North American Partners In Anesthesia Maryland LLC 45 Thomas Jefferson Dr, Frederick, MD 21702
Jennifer Lyn Chen Optometry Longmeadow Optical, Ltd 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507
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Competitor

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City FREDERICK
Zip Code 21702
Specialty NEUROLOGY
City + Specialty FREDERICK + NEUROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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