Dave, Mahesh R
Dave, Mahesh R is an sole proprietor health care provider with primary practice located at 1201D Briarcrest Dr , Bryan TX 77802-5223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dave, Mahesh R can be contacted via phone (979) 776-5600.Contact Information
Primary practice address
1201D Briarcrest Dr
Bryan TX 77802-5223
Phone: (979) 776-5600
Fax: (979) 776-6280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | F8457 | Texas |
Profile Details
| NPI number | 1386651818 |
|---|---|
| LBN Legal business name | Dave, Mahesh R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Oct 13th, 2021 - about 5 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 | 1386651818 | NPPES |
| Texas | MEDICAID | 099470901 | |
| Texas | Other | 742192073 |
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