Divan, Kishore
Divan, Kishore is an individual health care provider with primary practice located at 30 S Cayuga Rd , Williamsville NY 14221-6728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Divan, Kishore can be contacted via phone (716) 632-1088.Contact Information
Primary practice address
30 S Cayuga Rd
Williamsville NY 14221-6728
Phone: (716) 632-1088
Fax: (716) 632-7842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 113383-1 | New York |
Profile Details
| NPI number | 1437179728 |
|---|---|
| LBN Legal business name | Divan, Kishore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437179728 | NPPES |
| New York | MEDICAID | 00693527 |
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