Individual
WAQAAR DIWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 HOLCOMBE BLVD UNIT 1471, HOUSTON, TX 77030-4000
(713) 794-3914
Mailing address
1515 HOLCOMBE BLVD UNIT 1471, HOUSTON, TX 77030-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
S2762
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
S2762
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417952501
—
TX
Enumeration date
04/06/2018
Last updated
11/06/2024
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