# MR. ASHUTOSH B DIWAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144214958
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101229792 | VA | Yes |
| 207Q00000X | Family Medicine Physician | 0429558 | KS | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 2023001690 | MO | — |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 11/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100450570 D | — | KS |