Diamantidis, Clarissa Jonas
Diamantidis, Clarissa Jonas is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-1544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Diamantidis, Clarissa Jonas can be contacted via phone (336) 713-4156.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-1544
Phone: (336) 713-4156
Fax: (336) 716-4359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D70807 | Maryland |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2014-01223 | North Carolina |
Profile Details
| NPI number | 1871798538 |
|---|---|
| LBN Legal business name | Diamantidis, Clarissa Jonas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Mar 13th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871798538 | NPPES |
| Maryland | MEDICAID | 510360600 | |
| Maryland | Other | 965568-01 & 02 | |
| Maryland | Other | S062-0394 |
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