Niranjan J Dave MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

031232 Issued in GA

Legal business name

NIRANJAN J DAVE MD PC

Practice address

3825 Medical Park Dr
Suite 100
Austell, GA 30106-6831

Phone

(770) 944-2245

Fax

(770) 944-1337

NPI assigned

Apr 18, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Niranjan J Dave, MD

Title

Owner

Phone

(770) 944-2245

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1336406131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 MEDICAL PARK DR",
            "address_2": "SUITE 100",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066831",
            "telephone_number": "770-944-2245",
            "fax_number": "770-944-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 MEDICAL PARK DR",
            "address_2": "SUITE 100",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066831",
            "telephone_number": "770-944-2245",
            "fax_number": "770-944-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRANJAN J DAVE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "NIRANJAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-944-2245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "031232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000405402D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PAYEE ID",
            "identifier": "003114146A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea L Nguyen, PT
• Thi Minh Diem Nguyen, MD
• Marga B. Ngwang, M.D.
• Rufus William Nicks, PHARMD
• Abhinav Nimmagadda, EMT-B
• Nissi Family Medicine LLC
• Michael Nitzken
• Pamela Emade Njungwe
• Fongalla Nkweti, DMD
• Nnamdi Nkwuo

• Cardiovascular Disease Physician in Austell, GA
• Providers in Austell, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.