DR. VICTORIA M DIOKNO M.D.

Allergy and Immunology

Mount Pleasant, South Carolina

Provider NPI: 1619920246

Provider Information:
DR. VICTORIA M DIOKNO M.D.


Practice Location:
100 FAIR SAILING RD  MOUNT PLEASANT, SC 29466 US
Tel: 843-276-2630  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	DE	C10006636
N	207R00000X	Physicians Internal Medicine	SC	31305
N	207R00000X	Physicians Internal Medicine	DE	DEA#BD7946429
N	207K00000X	Physicians Allergy & Immunology	OH	35-088393
Y	207RA0201X	Physicians Internal Medicine	SC	31305

Other Provider Identifiers:

Issuer	Number	State	Type
	100016773	DE	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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