Basic Information
Provider Information
NPI: 1639102395
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARPON
FirstName: DIA
MiddleName: LASHAWN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 249
Address2: 6040 PUBLIC LANDING RD
City: SNOW HILL
State: MD
PostalCode: 21863
CountryCode: US
TelephoneNumber: 4106321100
FaxNumber: 4106520906
Practice Location
Address1: 6040 PUBLIC LANDING RD
Address2:  
City: SNOW HILL
State: MD
PostalCode: 218633547
CountryCode: US
TelephoneNumber: 4106321100
FaxNumber: 4106520906
Other Information
ProviderEnumerationDate: 07/08/2006
LastUpdateDate: 07/29/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X10998MTN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800XD0070100MDY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

ID Information
IDTypeStateIssuerDescription
P0033892901MTMEDICARE RAILROADOTHER
002967905FM MEDICAID
00009412601MTBLUE CROSS BLUE SHIELDOTHER


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