Divakara Gouda
Student in an Organized Health Care Education/Training Program in Mullica Hill, New Jersey
1144073057- Practice location
- 700 Mullica Hill RD, Mullica Hill, NJ 08062-4413
- Phone
- 856-508-1000
- Fax
- —
- Last updated
- April 9, 2024
Divakara Gouda is a Student in an Organized Health Care Education/Training Program based in Mullica Hill, NJ. Divakara Gouda practices in Mullica Hill, NJ. The NPI Number for Divakara Gouda is 1144073057. The current practice location address for Divakara Gouda is 700 Mullica Hill RD, Mullica Hill, NJ 08062-4413 and can be reached out via phone at 856-508-1000.
Provider Profile Details
- NPI Number
- 1144073057
- Provider Name
- Divakara Gouda
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 700 Mullica Hill RD, Mullica Hill, NJ 08062-4413
- Phone Number
- 856-508-1000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 9, 2024
- Last Update Date
- April 9, 2024
- Certification Date
- April 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 700 Mullica Hill RD
Mullica Hill, NJ 08062-4413 - City
- Mullica Hill
- State
- New Jersey
- Zip
- 08062-4413
- Phone Number
- 856-508-1000
Provider Business Mailing Address Details
- Address
- 124 Renaissance Dr
Cherry Hill, NJ 08003-5102 - City
- Cherry Hill
- State
- NJ
- Zip
- 08003-5102
- Phone Number
- 609-509-4699
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Divakara Gouda?
The NPI number of Divakara Gouda is 1144073057. It was assigned on April 9, 2024 and is currently active in the NPPES registry.
What is the specialty of Divakara Gouda?
Divakara Gouda is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Divakara Gouda practice?
The practice location is 700 Mullica Hill RD, Mullica Hill, NJ 08062-4413. The office can be reached at 856-508-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144073057 directly on the NPPES registry website.