Provider Demographics
NPI:1386649051
Name:DAVE, KAVITA P (DO)
Entity type:Individual
Prefix:DR
First Name:KAVITA
Middle Name:P
Last Name:DAVE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KAVITA
Other - Middle Name:P
Other - Last Name:ARORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:6505 S MANTHEY RD
Mailing Address - Street 2:
Mailing Address - City:FRENCH CAMP
Mailing Address - State:CA
Mailing Address - Zip Code:95231-9518
Mailing Address - Country:US
Mailing Address - Phone:008-382-8387
Mailing Address - Fax:
Practice Address - Street 1:6505 S MANTHEY RD
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231-9518
Practice Address - Country:US
Practice Address - Phone:800-382-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO-41808207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAR667758OtherBCBS ID NUMBER
COAR667758OtherBCBS ID NUMBER
G88113Medicare UPIN