Organization
PAMILA DIWAN, MD
Active
Other names
Pamila Diwan, MD
Organization subpart
No
Provider details
NPI number
Authorized official
PAMILA DIWAN MD (MD)
(248) 644-8220
Entity
Organization
Contact information
Practice address
30555 SOUTHFIELD RD STE 180, SOUTHFIELD, MI 48076-7700
(248) 644-8220
(248) 644-7338
Mailing address
30555 SOUTHFIELD RD STE 180, SOUTHFIELD, MI 48076-7700
(248) 644-8220
(248) 644-7338
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831172303
—
MI
01
—
MI1192
OBGYN
MI
Enumeration date
07/02/2020
Last updated
07/02/2020
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