Provider Demographics
NPI:1639102395
Name:ARPON, DIA LASHAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:DIA
Middle Name:LASHAWN
Last Name:ARPON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:6040 PUBLIC LANDING RD
Mailing Address - City:SNOW HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21863
Mailing Address - Country:US
Mailing Address - Phone:410-632-1100
Mailing Address - Fax:410-652-0906
Practice Address - Street 1:6040 PUBLIC LANDING RD
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:MD
Practice Address - Zip Code:21863-3547
Practice Address - Country:US
Practice Address - Phone:410-632-1100
Practice Address - Fax:410-652-0906
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00701002084P0800X
MT109982084P0800X
DEC1-00261582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000094126OtherBLUE CROSS BLUE SHIELD
MTP00338929OtherMEDICARE RAILROAD
FM0029679Medicaid
MTI19252Medicare UPIN
189641Y1YMedicare PIN
MT000094126OtherBLUE CROSS BLUE SHIELD