# SUDHIR DIWAN MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639676216
- **Authorized official:** DR. SUDHIR DIWAN MD (OWNER)
- **Authorized official phone:** (212) 535-3505

## Contact information

- **Practice address:** 115 E 57TH ST STE 610, NEW YORK, NY 10022-2129
- **Practice address phone:** (212) 535-3505
- **Practice address fax:** (212) 535-3568
- **Mailing address:** 115 E 57TH ST STE 610, NEW YORK, NY 10022-2129
- **Mailing address phone:** (212) 535-3505
- **Mailing address fax:** (212) 535-3568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 209697 | NY | Yes |

## Other

- **Enumeration date:** 04/10/2018
- **Last updated:** 04/10/2018