Provider Demographics
NPI:1659469864
Name:DIWAN ASSOCIATES
Entity Type:Organization
Organization Name:DIWAN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SATYENDRA
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:DIWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-565-2754
Mailing Address - Street 1:211 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3019
Mailing Address - Country:US
Mailing Address - Phone:610-565-2754
Mailing Address - Fax:610-565-8493
Practice Address - Street 1:211 N MONROE ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3019
Practice Address - Country:US
Practice Address - Phone:610-565-2754
Practice Address - Fax:610-565-8493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty