Provider Demographics
NPI:1871512004
Name:DIEHL, ANNA MAE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA MAE
Middle Name:
Last Name:DIEHL
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:DUKE UNIVERSITY DIVISION OF GASTROENTEROLOGY
Mailing Address - Street 2:200 TRENT DRIVE, DS-ORANGE ZONE, SUITE 03107BOX 3913
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-2366
Mailing Address - Fax:919-684-8857
Practice Address - Street 1:DUKE UNIVERSITY DIVISION OF GASTROENTEROLOGY
Practice Address - Street 2:200 TRENT DRIVE, DS-ORANGE ZONE, SUITE 03107BOX 3913
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-2366
Practice Address - Fax:919-684-8857
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400664281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital