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
Phone: (610) 565-2754
Fax: (610) 565-8493
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689665051 | NPPES |
Pennsylvania | MEDICAID | 0900467 |
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