Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fatima Tahera Diaban, DO

Individual provider Internal Medicine Physician · NPI 1336586098

Fatima Tahera Diaban, DO is a Critical Care (Intensivists) in Green Bay, Wisconsin. Qualified in 2013, 13 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois, Michigan and Wisconsin.

Years since qualifying
13
Licensed in
IL, MI, WI
In the registry since
2013
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2320 E 93rd St, Chicago, IL 60617-3909 — (773) 967-2000
  • 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 — (586) 582-6630

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 72292 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5101020612 (MI)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 036-163968 (IL)

Record details

NPI number1336586098
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 4, 2013
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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