Provider Demographics
NPI:1366605313
Name:NAKAVE, ABHIJEET A (MD)
Entity type:Individual
Prefix:
First Name:ABHIJEET
Middle Name:A
Last Name:NAKAVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4103 LAFAYETTE BLVD STE 2B
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-4274
Mailing Address - Country:US
Mailing Address - Phone:540-479-1364
Mailing Address - Fax:540-919-0007
Practice Address - Street 1:4103 LAFAYETTE BLVD STE 2B
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-4274
Practice Address - Country:US
Practice Address - Phone:540-479-1364
Practice Address - Fax:540-919-0007
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60216868208M00000X
VA0101259921261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist