Diallo, Dalanda Mariamma

Diallo, Dalanda Mariamma is an sole proprietor health care provider with primary practice located at 701 W Plymouth Ave , Deland FL 32720-3236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Diallo, Dalanda Mariamma can be contacted via phone (386) 943-3160.

Contact Information

Primary practice address
701 W Plymouth Ave Deland FL 32720-3236
Phone: (386) 943-3160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D87366 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME128920 Florida

Profile Details

NPI number 1326466681
LBN Legal business name Diallo, Dalanda Mariamma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2014
Last updated Oct 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326466681 NPPES
Maryland Other D87366 LICENSE

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