Diwan, Kanta

Diwan, Kanta is an individual health care provider with primary practice located at 211 N Monroe St , Media PA 19063-3019. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Diwan, Kanta can be contacted via phone (610) 565-2754.

Contact Information

Primary practice address
211 N Monroe St Media PA 19063-3019
Fax: (610) 565-8493
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD036633L Pennsylvania

Profile Details

NPI number 1689665051
LBN Legal business name Diwan, Kanta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 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 1689665051 NPPES
Pennsylvania MEDICAID 0900467

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