Divan, Kishore

Divan, Kishore is an individual health care provider with primary practice located at 30 S Cayuga Rd , Williamsville NY 14221-6728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Divan, Kishore can be contacted via phone (716) 632-1088.

Contact Information

Primary practice address
30 S Cayuga Rd Williamsville NY 14221-6728
Fax: (716) 632-7842
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 113383-1 New York

Profile Details

NPI number 1437179728
LBN Legal business name Divan, Kishore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 9th, 2007 - about 18 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 1437179728 NPPES
New York MEDICAID 00693527

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