Organization
SHARAF DIWAN, M.D., P.A. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARAF Y DIWAN M.D. (MEMBER)
(832) 604-0005
Entity
Organization
Contact information
Practice address
18220 TOMBALL PKWY, #230, HOUSTON, TX 77070-4347
(832) 604-0005
(832) 604-0103
Mailing address
18220 TOMBALL PKWY, #230, HOUSTON, TX 77070-4347
(832) 604-0005
(832) 604-0103
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
J6920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1401523-23
—
TX
Enumeration date
06/15/2006
Last updated
07/05/2011
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