Provider Demographics
NPI:1891680245
Name:DONALDSON-PASHA, DIANTE
Entity type:Individual
Prefix:
First Name:DIANTE
Middle Name:
Last Name:DONALDSON-PASHA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2734
Mailing Address - Country:US
Mailing Address - Phone:810-399-7150
Mailing Address - Fax:
Practice Address - Street 1:817 E 9TH ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2734
Practice Address - Country:US
Practice Address - Phone:810-399-7150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist