| Sharaf Diwan, M.d., P.a. Llc | |
|
18220 Tomball Pkwy #230 Houston TX 77070-4347 | |
| (832) 604-0005 | |
| (832) 604-0103 |
| Full Name | Sharaf Diwan, M.d., P.a. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18220 Tomball Pkwy, Houston, Texas |
| Authorized Official Name and Position | Sharaf Y Diwan (MEMBER) |
| Authorized Official Contact | 8326040005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharaf Diwan, M.d., P.a. Llc 18220 Tomball Pkwy #230 Houston TX 77070-4347 Ph: (832) 604-0005 | Sharaf Diwan, M.d., P.a. Llc 18220 Tomball Pkwy #230 Houston TX 77070-4347 Ph: (832) 604-0005 |
| NPI Number | 1215971072 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 07/05/2011 |
| Medicare PECOS PAC ID | 4880871821 |
|---|---|
| Medicare Enrollment ID | O20110531000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215971072 | NPI | - | NPPES |
| 1401523-23 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | J6920 (Texas) | Primary |
| Provider Name | Sharaf Ali Diwan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114927290 PECOS PAC ID: 9133306186 Enrollment ID: I20110531000677 |
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