Healthcare Provider Details

I. General information

NPI: 1801456629
Provider Name (Legal Business Name): ARISTIDES DIAMANT MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2019
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH ST FL 4
SAN FRANCISCO CA
94158-2604
US

IV. Provider business mailing address

1500 EAST MEDICAL CTR DR MPB D3230 SPC 5718
ANN ARBOR MI
48109-5718
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-5190
  • Fax:
Mailing address:
  • Phone: 734-647-1174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA179328
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4351045090
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberA179328
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: