Ketan C Davae
PONTCHARTRAIN DIAGNOSTIC IMAGING LLC


Address: 156 Dedham St, Canton, MA 02021-1509
Phone: 9858674050

Ketan C Davae (NPI# 1700838620, PAC ID# 7012996366) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1700838620
PAC ID by PECOS 7012996366
Professional Enrollment ID I20111208000463
Full Name Ketan C Davae
Organization Legal Name PONTCHARTRAIN DIAGNOSTIC IMAGING LLC
Address 156 Dedham St
Canton
MA 02021-1509
Phone Number 9858674050
Gender M
Credential MD
Medical School STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 1951552900
Number of Group Practice Members 41
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330259 MERCY MEDICAL CENTER
390115 ARIA HEALTH
230222 MIDMICHIGAN MEDICAL CENTER-MIDLAND
220063 LOWELL GENERAL HOSPITAL
330128 ELMHURST HOSPITAL CENTER

Other Locations

Address Phone Organization
112 Academy Hill Rd, Apt 4, Brighton, MA 02135-3958 9525951100 VIRTUAL RADIOLOGIC PROFESSIONALS LLC
156 Dedham St, Canton, MA 02021-1509 9858674050 PONTCHARTRAIN DIAGNOSTIC IMAGING LLC
156 Dedham St, Canton, MA 02021-1509 9525951100 VIRTUAL RADIOLOGIC PROFESSIONALS LLC
295 Varnum Ave, Lowell, MA 01854-2134 9789376240 MERRIMACK RADIOLOGY CRA LLC
82 Maple St, Norton, MA 02766-2607 6263395464 GLENDORA RADIOLOGICAL ASSOC INC
82 Maple St, Norton, MA 02766-2607 2394254745 RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC
3 Jennifer Way, South Easton, MA 02375-1153 6174488221 RADADVANTAGE A PROFESSIONAL CORPORATION
67 Ide Rd, Williamstown, MA 01267-2814 9525951100 RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC

Organization Information

Organization Legal Name PONTCHARTRAIN DIAGNOSTIC IMAGING LLC
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Christopher J Atkinson Diagnostic Radiology Pontchartrain Diagnostic Imaging LLC 5827 Cedar Hill Way, San Antonio, TX 78253-5530
Kenton E Kagy Diagnostic Radiology Pontchartrain Diagnostic Imaging LLC 722 Catalina Aisle St, Las Vegas, NV 89138-4608
Kathryn Elizabeth Pflug Diagnostic Radiology Pontchartrain Diagnostic Imaging LLC 95 Judge Tanner Blvd, Covington, LA 70433-7500
Carla V Ramas Diagnostic Radiology Pontchartrain Diagnostic Imaging LLC 1417 Ne 27th St, Fort Lauderdale, FL 33334-4344
Jed A Santa Maria Diagnostic Radiology Pontchartrain Diagnostic Imaging LLC 452 Devonshire Dr, Brea, CA 92821-6014
Alison M Robinette Diagnostic Radiology Pontchartrain Diagnostic Imaging LLC 9290 E Thompson Peak Pkwy, Unit 240, Scottsdale, AZ 85255-4512
Dennis Patrick Lindfors Diagnostic Radiology Pontchartrain Diagnostic Imaging LLC 822 24th Ave Nw, Gig Harbor, WA 98335-7850
Danielle M Weems Diagnostic Radiology Pontchartrain Diagnostic Imaging LLC 3005 Sunset Hills Blvd S, Edwardsville, IL 62025-3734
Alan J Kopp Diagnostic Radiology Pontchartrain Diagnostic Imaging LLC 22 E 1st St, Suite 6, New York, NY 10003-9384
Julie K Shaffrey Diagnostic Radiology Pontchartrain Diagnostic Imaging LLC 6 Old Manor Ct, Reisterstown, MD 21136-5664

Office Location

Street Address 156 DEDHAM ST
City CANTON
State MA
Zip 02021-1509

Physicians in the same zip code

Name Specialty Organization Address
Sharon Verney Nurse Practitioner Hebrew Rehabilitation Center One Del Pond Dr, Canton, MA 02021
Nadia Ali Geriatric Medicine Hebrew Rehabilitation Center One Del Pond Dr, Canton, MA 02021
Jane A Cohn Clinical Social Worker 2184 Washington St, Canton, MA 02021-1145
David P Bullis Psychologist, Clinical 2184 Washington St, Canton, MA 02021-1145
Marci L Langevin Clinical Social Worker Child and Family Psychological Services Pllc 45 Shawmut Rd, Fl 3, Canton, MA 02021-1400
Lawrence P Flynn Clinical Social Worker Child and Family Psychological Services Pllc 45 Shawmut Rd, Fl 3, Canton, MA 02021-1400
Monica G Alley Clinical Social Worker Child and Family Psychological Services Pllc 45 Shawmut Rd, Fl 3, Canton, MA 02021-1400
Gerald A Carmichael Clinical Social Worker 2 Paddock Cir, Canton, MA 02021-1750
Janet J Leibowitz Psychologist, Clinical 345 Neponset St, Suite 6, Canton, MA 02021-1940
Dennis Power Ii Physical Therapy 345 Neponset St, 1st, Canton, MA 02021-1940
Find all physicians in zip 02021

Competitor

Search similar physicians

City CANTON
Zip Code 02021
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty CANTON + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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