Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mayank Nandkishor Dave, MD

Individual provider Family Medicine Physician · NPI 1275738148

Mayank Nandkishor Dave, MD is a Family Practice in Lawton, Oklahoma. Qualified in 2001, 25 years ago. Practices with Clinton Hospital Authority, a 14-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
25
Licensed in
OK
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5606 SW Lee Blvd Ste 202
Lawton, OK 73505-9688
Phone: (580) 536-5300
Fax: (580) 536-5304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25648 (OK)

Record details

NPI number1275738148
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2007
Last updated in NPPESMarch 2, 2011
Mailing address5606 Sw Lee Blvd, Suite 202, Lawton, OK 73505-9688

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Clinton Hospital Authority — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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