# PAMILA DIWAN, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pamila Diwan, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760009070
- **Authorized official:** PAMILA DIWAN MD (MD)
- **Authorized official phone:** (248) 644-8220

## Contact information

- **Practice address:** 30555 SOUTHFIELD RD STE 180, SOUTHFIELD, MI 48076-7700
- **Practice address phone:** (248) 644-8220
- **Practice address fax:** (248) 644-7338
- **Mailing address:** 30555 SOUTHFIELD RD STE 180, SOUTHFIELD, MI 48076-7700
- **Mailing address phone:** (248) 644-8220
- **Mailing address fax:** (248) 644-7338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2020
- **Last updated:** 07/02/2020