Prafull K Dave MD PA

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

D20922 Issued in MD

Legal business name

PRAFULL K DAVE MD PA

Practice address

188 Thomas Johnson Dr
Suite 200
Frederick, MD 21702-4505

Phone

(301) 695-6556

Fax

(301) 695-5485

NPI assigned

Apr 2, 2007

Last updated

Apr 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Prafull K Dave, MDNPI 1326008582

Title

President

Phone

(301) 695-6556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prafull K Dave, MD PA

  • Specialist
  • Frederick, MD
  • NPI 1326008582
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1881715472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 THOMAS JOHNSON DR",
            "address_2": "SUITE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024505",
            "telephone_number": "301-695-6556",
            "fax_number": "301-695-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 THOMAS JOHNSON DR",
            "address_2": "SUITE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024505",
            "telephone_number": "301-695-6556",
            "fax_number": "301-695-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAFULL K DAVE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "PRAFULL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-695-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MD",
            "license": "D20922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Harry Powell, PHD
• Jimmie L Powell II, NBC-HWC
• Kennedy Powell
• Linda Carroll Powell, MS, LCPC, NCC
• Niambi Powell, LCSW-C
• Jessica Prall, MA, CCC-SLP
• Elizabeth Claire Prather
• Brian Pratt, LCSW-C
• Kari Pratt, A.R.N.P.
• Praveen Bolarum, MD LLC

• Neurology with Special Qualifications in Child Neurology Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.