Provider Demographics
NPI:1609262138
Name:DAVE, BHARGAV ARVINDKUMAR
Entity type:Individual
Prefix:
First Name:BHARGAV
Middle Name:ARVINDKUMAR
Last Name:DAVE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3834 PEARL LAKE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4884
Mailing Address - Country:US
Mailing Address - Phone:248-416-3321
Mailing Address - Fax:832-786-7489
Practice Address - Street 1:608 FM 517 RD W
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-3904
Practice Address - Country:US
Practice Address - Phone:248-416-3321
Practice Address - Fax:832-786-7489
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1052340163W00000X
MI5501015759225100000X
NY033650225100000X
TX1217440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No163W00000XNursing Service ProvidersRegistered Nurse