PAMILA DIWAN, MD (NPI# 1760009070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760009070 |
| Entity Type | Organization |
| Organization Name | PAMILA DIWAN, MD |
| Practice Address |
30555 Southfield Rd Ste 180 Southfield MI 48076-7700 |
| Practice Telephone | 2486448220 |
| Practice Fax Number | 2486447338 |
| Mailing Telephone | 2486448220 |
| Mailing Fax Number | 2486447338 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | PAMILA DIWAN (MD) |
| Authorized Official Telephone | 2486448220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1831172303 | 05 | |
| MI | OBGYN | MI1192 | 01 |
| Other Name | Type Code |
|---|---|
| Pamila Diwan, MD | Former Legal Business Name - Organization |
| Street Address |
30555 SOUTHFIELD RD STE 180 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1386094464 | Ali Bazzi | Obstetrics & Gynecology | 26400 W 12 Mile Rd Ste 140, Southfield, MI 48034-1753 | 2016-06-20 |
| 1700268547 | Simisola Marie Caxton-idowu | Obstetrics & Gynecology | 22250 Providence Dr Ste 300, Southfield, MI 48075-6211 | 2015-06-28 |
| 1306223839 | Aylin Deniz Downey | Obstetrics & Gynecology | 29877 Telegraph Rd Ste 210, Southfield, MI 48034 | 2015-05-05 |
| 1902010085 | Janet C Mullings-britton | Obstetrics & Gynecology | 22250 Providence Dr Ste 408, Southfield, MI 48075-6212 | 2007-05-09 |
| 1487717666 | Harmony International PC | Obstetrics & Gynecology | 20905 Greenfield Rd #402, Northland Medical Tower, Southfield, MI 48075 | 2006-12-18 |
| 1245264209 | Andrea Celeste Lightbourn | Obstetrics & Gynecology | 29600 Northwestern Hwy, 104, Southfield, MI 48034-1016 | 2006-07-10 |
| 1588613921 | Korial J Atty | Obstetrics & Gynecology | 29425 Northwestern Hwy, Suite 200, Southfield, MI 48034-1080 | 2006-05-10 |
| 1902862436 | Michele Thomas | Obstetrics & Gynecology | 29255 Northwestern Hwy Ste 301, Southfield, MI 48034 | 2006-04-24 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.