person
Divya Kalluru, MD
Student in an Organized Health Care Education/Training Program in Charleston, West Virginia
NPI 1457916751

Divya Kalluru is a Student in an Organized Health Care Education/Training Program based in Charleston, WV. Divya Kalluru practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Divya Kalluru is 1457916751 and holds a License No. (West Virginia).

The current practice location address for Divya Kalluru is 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, Charleston, WV and can be reached out via phone at 304-388-5590 and via fax at 304-388-8238.

Location: 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, Charleston, WV, 25304
person
Provider Profile Details
NPI Number
1457916751
Provider Name
Divya Kalluru
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, Charleston, WV, 25304
Phone Number
304-388-5590
Fax Number
304-388-8238
Provider Enumeration Date
05/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica
City
State
Zip
25304
Phone Number
304-388-5590
Fax Number
304-388-8238
person
Provider Business Mailing Address Details
Address
3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica
City
State
Zip
25304
Phone Number
304-388-5590
Fax Number
304-388-8238
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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