Provider Demographics
NPI:1538840848
Name:JAMES, DIYA MERRY (BS RT)
Entity type:Individual
Prefix:MS
First Name:DIYA
Middle Name:MERRY
Last Name:JAMES
Suffix:
Gender:F
Credentials:BS RT
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Mailing Address - Street 1:1653 DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:JAMISON
Mailing Address - State:PA
Mailing Address - Zip Code:18929-1774
Mailing Address - Country:US
Mailing Address - Phone:267-266-5025
Mailing Address - Fax:
Practice Address - Street 1:8835 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2718
Practice Address - Country:US
Practice Address - Phone:267-266-5025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAYM0147642278C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAYM014764OtherLICENSE NUMBER