| Shilpa Diwan Md Inc | |
|
19772 Macarthur Blvd Ste 220 Irvine CA 92612-2405 | |
| (949) 304-6727 | |
| (949) 312-5638 |
| Full Name | Shilpa Diwan Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 19772 Macarthur Blvd Ste 220, Irvine, California |
| Authorized Official Name and Position | Shilpa Diwan (PRESIDENT) |
| Authorized Official Contact | 9493046727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shilpa Diwan Md Inc 6 Venture Ste 350 Irvine CA 92618-7350 Ph: (949) 304-6727 | Shilpa Diwan Md Inc 19772 Macarthur Blvd Ste 220 Irvine CA 92612-2405 Ph: (949) 304-6727 |
| NPI Number | 1902458524 |
|---|---|
| Provider Enumeration Date | 07/13/2019 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Medicare PECOS PAC ID | 5890023980 |
|---|---|
| Medicare Enrollment ID | O20190828000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902458524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Shilpa P Diwan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942457999 PECOS PAC ID: 1951448133 Enrollment ID: I20150709002687 |
| Provider Name | Bahram Marzban |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427437243 PECOS PAC ID: 3274840848 Enrollment ID: I20150914003036 |
| Provider Name | Sharon Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417410713 PECOS PAC ID: 0648648592 Enrollment ID: I20221124000050 |
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