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NPI Code Detail

MEDICARE: PRASHANT PRAMODKUMAR DIWAN

MEDICARE: PRASHANT PRAMODKUMAR DIWAN
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
1183500000XPharmacist21882NC

General Provider Information

NPI Number : 1184974180
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRASHANT PRAMODKUMAR DIWAN
Provider Business Mailing Address
First Line : 3201-123 EDWARDS MILL RD
Second Line :
City : RALEIGH
State : NC
Zip : 27612-5370
Country : US
Telephone Number : 919-781-2314
Fax Number : 919-786-1326
Provider Business Practice Location Address
First Line : 3201-123 EDWARDS MILL RD
Second Line :
City : RALEIGH
State : NC
Zip : 27612-5370
Country : US
Telephone Number : 919-781-2314
Fax Number : 919-786-1326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2012
Last Update Date : 09/17/2012

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Directions to “ PRASHANT PRAMODKUMAR DIWAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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