Pamila Diwan, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PAMILA DIWAN, MD

Practice address

30555 Southfield Rd Ste 180
Southfield, MI 48076-7700

Phone

(248) 644-8220

Fax

(248) 644-7338

NPI assigned

Jul 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamila Diwan, MDNPI 1831172303

Title

MD

Phone

(248) 644-8220

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pamila Diwan, MD Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamila Diwan, MD

  • Obstetrics & Gynecology Physician
  • Southfield, MI
  • NPI 1831172303
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1760009070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30555 SOUTHFIELD RD STE 180",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767700",
            "telephone_number": "248-644-8220",
            "fax_number": "248-644-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30555 SOUTHFIELD RD STE 180",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767700",
            "telephone_number": "248-644-8220",
            "fax_number": "248-644-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMILA DIWAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "DIWAN",
        "authorized_official_first_name": "PAMILA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "248-644-8220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBGYN",
            "identifier": "MI1192",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831172303",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamila Diwan, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Caitlyn Palazzo
• Amy Pallisco, PHARMD
• Margaret Palmer
• Maureen Elizabeth Palmer, OTR, CIMT
• Shiba Christine Elenore Palmer, CPRM, CPSS, CAADC-DF
• Panacea Compounding Pharmacy PLLC
• Brooke Panfalone
• Jaclyn J Panfil, BSW, CADC-DP, CPRC
• Panoptic Psychology Group LLC
• Daniel E Panush, M.D.

• Obstetrics & Gynecology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.