Dave, Kailas D
Dave, Kailas D is an individual health care provider with primary practice located at 316 Goshen Avenue , Hazleton PA 18201-0603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dave, Kailas D can be contacted via phone (570) 436-1635.Contact Information
Primary practice address
316 Goshen Avenue
Hazleton PA 18201-0603
Phone: (570) 436-1635
Fax: (570) 434-1635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD044209L | Pennsylvania |
Profile Details
| NPI number | 1811976327 |
|---|---|
| LBN Legal business name | Dave, Kailas D |
| Credentials | MD FAAP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Feb 10th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811976327 | NPPES |
| Pennsylvania | MEDICAID | 0012719660004 | |
| Pennsylvania | Other | 138534 | |
| Pennsylvania | Other | 001393 |
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