Individual
DIAMOND N HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1373 E STATE ROAD 62, LEVEL 2, MADISON, IN 47250-7328
(812) 801-0300
(812) 801-0585
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(812) 801-0300
(812) 801-0585
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01074348A
IN
208000000X
Pediatrics Physician
15610
SD
208000000X
Pediatrics Physician
Primary
35C.002837
OH
208000000X
Pediatrics Physician
MT199150
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201239430
—
IN
05
—
7100339020
—
KY
Enumeration date
06/20/2011
Last updated
10/09/2025
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