Amadou Diogo Diallo

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

870333 Issued in IN

Practice address

4623 Falcon Grove Dr
Indianapolis, IN 46254-5919

Phone

(317) 513-1077

Fax

(317) 704-4249

NPI assigned

Apr 3, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Amadou Diogo Diallo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1982846002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FALCON GROVE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545919",
            "telephone_number": "317-513-1077",
            "fax_number": "317-704-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 FALCON GROVE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545919",
            "telephone_number": "317-513-1077",
            "fax_number": "317-704-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIALLO",
        "first_name": "AMADOU",
        "middle_name": "DIOGO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "870333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMADOU",
            "last_name": "DIALLO",
            "middle_name": "DIOGO",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diagnostic Rheumatology and Research PC
• Diagnostic Rheumatology and Research, PC
• Barbara Dial
• Carol Aileen Dial, NP-C
• Faith Isabella Dial, BS, RBT
• Hadja C Diallo, BSW
• Dialysis Clinic Inc.
• Dialysis Newco LLC
• Dialysis Vascular Specialists of Indiana LLC
• Diamedix Healthcare, LLC.

• Non-emergency Medical Transport (VAN) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.