Vaman Shripad Diwan, MD
Individual provider Active NPI Surgery Physician · Pineville, WV
NPI 1255400511 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255400511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 10880 (WV)
- Practice address
- 335 Williamson Ave
Pineville, WV 24874-1470 - Phone
- (304) 732-6155
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 10880 | WV | Yes |
Addresses
Primary practice location
335 Williamson Ave
Pineville, WV 24874-1470
Mailing address
335 Williamson Ave
PO Box 1470
Pineville, WV 24874-1470
Phone (304) 732-6155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083525000 | Medicaid | WV |
Other providers in Pineville, WV
- Brenda Michelle Coleman
- Katelyn Collins
- Ellen M Cook
- Rachel L Cook
- Elizabeth Ann Dean Mahon
- Laura Ellis
- Patrick Ellis
- Family Healthcare Associates Inc
- Amanda Fischer
- Kristy Anne Fleenor
All providers in Pineville, WV · Surgery Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.