Provider Demographics
NPI:1255773784
Name:MAAN, DIPESH (MD)
Entity type:Individual
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First Name:DIPESH
Middle Name:
Last Name:MAAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1034 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2945
Mailing Address - Country:US
Mailing Address - Phone:814-333-3945
Mailing Address - Fax:814-333-3947
Practice Address - Street 1:765 LIBERTY ST STE 307A
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2566
Practice Address - Country:US
Practice Address - Phone:814-333-3945
Practice Address - Fax:814-333-3947
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2023-10-13
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Provider Licenses
StateLicense IDTaxonomies
PAMD463407207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology