Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 104691 | AL |
N | 111NI0900X | Internist | 104691 | AL |
Y | 207RN0300X | Nephrologist | 104691 | AL |
NPI | 1023122983 |
---|---|
Provider Name | Charles J Diskin |
First Address | Opelika, AL 36801-5442 |
Second Address | Opelika, AL 36801-5442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 09/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000010756 | (05) | AL |
000086405 | (05) | AL |
000088816 | (05) | AL |
009919305 | (05) | AL |
009948975 | (05) | AL |
009948985 | (05) | AL |
009948995 | (05) | AL |
1023122983 | NPI (01) | |
125726 | (05) | AL |
125727 | (05) | AL |
51010756 | BCBS LAFAYETTE (01) | AL |
51010757 | BCBS OPELIKA (01) | AL |
51086405 | BCBS TUSKEGEE (01) | AL |
51088816 | BCBS LANGDALE (01) | AL |
51088820 | BCBS DADEVILLE (01) | AL |
51520914 | BCBS AUBURN (01) | AL |
528701590 | (05) | AL |
C76938 | (02) | |
CC1726 | RRRMC (01) | AL |