Provider Demographics
NPI:1710933965
Name:DIGGS, CHARLES H (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:H
Last Name:DIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1277 DEMING WAY
Mailing Address - Street 2:DEAN HEALTH PLAN
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-1971
Mailing Address - Country:US
Mailing Address - Phone:608-827-4044
Mailing Address - Fax:608-836-6516
Practice Address - Street 1:1277 DEMING WAY
Practice Address - Street 2:DEAN HEALTH PLAN
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1971
Practice Address - Country:US
Practice Address - Phone:608-827-4044
Practice Address - Fax:608-836-6516
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2013-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI22399-020207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30264100Medicaid
WI192OtherDEAN HEALTH INSURANCE
WI192OtherDEAN HEALTH INSURANCE
WI30264100Medicaid
WI900000219Medicare PIN
WI000557085Medicare PIN
B52437Medicare UPIN