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Divya Mounisha Reddy Thimmareddygari, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1760977912

Divya Mounisha Reddy Thimmareddygari is a Student in an Organized Health Care Education/Training Program based in Nutley, NJ. Divya Mounisha Reddy Thimmareddygari practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Divya Mounisha Reddy Thimmareddygari is 1760977912 and holds a License No. (New Jersey).

The current practice location address for Divya Mounisha Reddy Thimmareddygari is 111 Central Ave, Newark, NJ and can be reached out via phone at 973-877-5000.

Location: 111 Central Ave, Newark, NJ, 07110-5413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760977912
Provider Name
Divya Mounisha Reddy Thimmareddygari
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave, Newark, NJ, 07110-5413
Phone Number
973-877-5000
Fax Number
Provider Enumeration Date
06/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102-1909
Phone Number
973-877-5000
Fax Number
person
Provider Business Mailing Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102-1909
Phone Number
973-877-5000
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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