Individual
DR. DIANNE B DOOKHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
568 RUIN CREEK RD, SUITE 5, HENDERSON, NC 27536-2880
(252) 492-4477
(252) 436-1899
Mailing address
2560 NORTH SHADELAND AVENUE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8072
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
200000401
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101225455
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200000401
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
23835
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750360947
—
VA
Enumeration date
01/16/2006
Last updated
03/11/2011
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