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NPI Code Detail

MEDICARE: DR. MARIA CHURAMAN DIWANJI M.D.

MEDICARE: DR. MARIA CHURAMAN DIWANJI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME135513FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225304371
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA CHURAMAN DIWANJI M.D.
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 954-454-5777
Fax Number :
Provider Business Practice Location Address
First Line : 2230 NW 95TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33147-2414
Country : US
Telephone Number : 954-454-5777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2012
Last Update Date : 02/03/2022

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