person
Divya Pannala, MD
Family Medicine Physician in Modesto, California
NPI 1093949703

Divya Pannala is a Family Medicine Physician based in Modesto, CA. Divya Pannala practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Divya Pannala is 1093949703 and holds a License No. A116350 (California).

The current practice location address for Divya Pannala is 3612 Dale Rd, Modesto, CA and can be reached out via phone at 209-522-0146. You can also correspond with Divya Pannala through the mailing address at 600 COFFEE RD, MODESTO, CA - 95355-4201 (mailing address contact number: 209-521-6097).

Location: 3612 Dale Rd, Modesto, CA, 95355-4201
person
Provider Profile Details
NPI Number
1093949703
Provider Name
Divya Pannala
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3612 Dale Rd, Modesto, CA, 95355-4201
Phone Number
209-522-0146
Fax Number
Provider Enumeration Date
05/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MT-193188 01 PA LICENSE
institution
Provider Business Practice Location Address Details
Address
3612 Dale Rd
City
State
Zip
95356-0500
Phone Number
209-522-0146
Fax Number
person
Provider Business Mailing Address Details
Address
3612 Dale Rd
City
State
Zip
95356-0500
Phone Number
209-522-0146
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
A116350 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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