Individual
DR. VAMAN SHRIPAD DIWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 WILLIAMSON AVE, PINEVILLE, WV 24874-1470
(304) 732-6155
Mailing address
335 WILLIAMSON AVE, PO BOX 1470, PINEVILLE, WV 24874-1470
(304) 732-6155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10880
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083525000
—
WV
Enumeration date
11/08/2006
Last updated
07/08/2007
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