Pinakinprasad K Dave, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036055316 Issued in IL

Practice address

1851 Sibley Blvd
Calumet City, IL 60409-2252

Phone

(708) 868-2300

Fax

(708) 868-2304

NPI assigned

Aug 28, 2006

Last updated

Mar 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinakinprasad Dave, MD, SC

  • Specialist
  • Calumet City, IL
  • NPI 1659603868
  Authorized official Same address or phone
• Prabhakar J. Parikh, M.D.P.C

  • Clinic/Center
  • Calumet City, IL
  • NPI 1073780003
  NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426291200000",
    "number": "1720196876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 E 170TH PL",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733703",
            "telephone_number": "708-895-6439",
            "fax_number": "708-868-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SIBLEY BLVD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092252",
            "telephone_number": "708-868-2300",
            "fax_number": "708-868-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "PINAKINPRASAD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036055316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Cook
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• Tracy L Cupper, LCSW
• Cynthia Goldman S.C.
• David N Gasbarro
• Laconyer Davis, MACC, LPC, NCC, CADC
• Julie Dianne De Luna
• Andria Deberry
• Lezley Gianna Diaz, PHARMD

• Internal Medicine Physician in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.