Individual
DR. PAMILA DIWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30555 SOUTHFIELD RD, STE 180, SOUTHFIELD, MI 48076-1221
(248) 644-8220
(248) 644-7338
Mailing address
30555 SOUTHFIELD RD, STE 180, SOUTHFIELD, MI 48076-1221
(248) 644-8220
(248) 644-7338
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301039114
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1565615
—
MI
Enumeration date
11/29/2005
Last updated
10/13/2023
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