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NPI Code Detail

MEDICARE: DIANE YVONNE CHOWWOODS DPM

MEDICARE: DIANE YVONNE CHOWWOODS DPM
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
1213E00000XPodiatristE3635CA

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 : 1790726511
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE YVONNE CHOWWOODS DPM
Provider Business Mailing Address
First Line : 950 CAROL LN
Second Line :
City : LAFAYETTE
State : CA
Zip : 94549-4715
Country : US
Telephone Number : 925-962-9325
Fax Number :
Provider Business Practice Location Address
First Line : 3260 SACRAMENTO ST
Second Line :
City : BERKELEY
State : CA
Zip : 94702-2739
Country : US
Telephone Number : 510-601-6060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 11/12/2022

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