Individual
MR. ASHUTOSH B DIWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
493 BLACKWELL RD, SUITE 202, WARRENTON, VA 20186-2639
(540) 347-4400
(540) 341-4766
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101229792
VA
207Q00000X
Family Medicine Physician
0429558
KS
207QA0401X
Addiction Medicine (Family Medicine) Physician
2023001690
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100450570 D
—
KS
Enumeration date
09/07/2005
Last updated
11/05/2024
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