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Individual

DR. DIANA PATRICIA CARMONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
651 COLLIERS WAY STE 201, WEIRTON, WV 26062-5055
(304) 723-4700
Mailing address
651 COLLIERS WAY STE 300, WEIRTON, WV 26062-5058
(304) 797-6535

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
26118
WV
207VX0201X
Gynecologic Oncology Physician
35.097928
OH
207VX0201X
Gynecologic Oncology Physician
MD071348L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1530814
GATEWAY HEALTH PLAN PIN
PA
01
1753100
HIGHMARK BC/BS PIN
PA
01
1996750
UNITED HEALTH CARE PIN
01
212080
UPMC HEALTH PLAN PIN
01
264138
COVENTRY HEALTH CARE PIN
01
6069944
CIGNA PIN
01
7767534
AETNA PROVIDER ID
Enumeration date
02/06/2006
Last updated
12/29/2023
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