Provider Demographics
NPI:1366420358
Name:DAVE, AKSHAY V (MD)
Entity type:Individual
Prefix:DR
First Name:AKSHAY
Middle Name:V
Last Name:DAVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 BREMO RD
Mailing Address - Street 2:SUITE 128
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2444
Mailing Address - Country:US
Mailing Address - Phone:804-285-0680
Mailing Address - Fax:804-282-6365
Practice Address - Street 1:2010 BREMO RD
Practice Address - Street 2:SUITE 128
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2444
Practice Address - Country:US
Practice Address - Phone:804-285-0680
Practice Address - Fax:804-282-6365
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058654174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4645934OtherCIGNA
VA006307884Medicaid
VA7251098OtherAETNA
VA08-00712OtherUNITED HEALTHCARE
VA137723OtherSOUTHERN HEALTH SERVICES
VA180039843OtherRAILROAD MEDICARE
VA2326871OtherAETNA HMO
VA280658OtherMAMSI
VA50297OtherSENTARA
VA432513OtherANTHEM
VA4645934OtherCIGNA
VA08-00712OtherUNITED HEALTHCARE
VA137723OtherSOUTHERN HEALTH SERVICES