Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 35-088393 | OH |
N | 207K00000X | Allergist & Immunologist | C10006636 | DE |
N | 207R00000X | Internist | 31305 | SC |
N | 111NI0900X | Internist | 31305 | SC |
N | 207R00000X | Internist | DEA#BD7946429 | DE |
N | 111NI0900X | Internist | DEA#BD7946429 | DE |
Y | 207RA0201X | Internist - Allergy & Immunology | 31305 | SC |
NPI | 1619920246 |
---|---|
Provider Name | Dr. Victoria M Diokno |
First Address | Mount Pleasant, SC 29466-8158 |
Second Address | Mount Pleasant, SC 29466-8158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 23/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100016773 | (05) | DE |
H69423 | (02) | DE |