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Divya Bhanu Sree Madisetty, MD
Student in an Organized Health Care Education/Training Program in San Bernardino, California
NPI 1093389124

Divya Bhanu Sree Madisetty is a Student in an Organized Health Care Education/Training Program based in San Bernardino, CA. Divya Bhanu Sree Madisetty practices in San Bernardino, CA and has the professional credentials of MD. The NPI Number for Divya Bhanu Sree Madisetty is 1093389124 and holds a License No. (California).

The current practice location address for Divya Bhanu Sree Madisetty is Dignity Health, St. Bernardine Medical Center, 2101 N., San Bernardino, CA and can be reached out via phone at 909-644-5892.

Location: Dignity Health, St. Bernardine Medical Center, 2101 N., San Bernardino, CA, 92404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093389124
Provider Name
Divya Bhanu Sree Madisetty
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Dignity Health, St. Bernardine Medical Center, 2101 N., San Bernardino, CA, 92404
Phone Number
909-644-5892
Fax Number
Provider Enumeration Date
05/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Dignity Health, St. Bernardine Medical Center, 2101 N.
City
San Bernardino
State
California
Zip
92404
Phone Number
909-644-5892
Fax Number
person
Provider Business Mailing Address Details
Address
Dignity Health, St. Bernardine Medical Center, 2101 N.
City
San Bernardino
State
California
Zip
92404
Phone Number
909-644-5892
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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