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Kanneganti Divya, MD
Student in an Organized Health Care Education/Training Program in Mineola, New York
NPI 1861912511

Kanneganti Divya is a Student in an Organized Health Care Education/Training Program based in Mineola, NY. Kanneganti Divya practices in Mineola, NY and has the professional credentials of MD. The NPI Number for Kanneganti Divya is 1861912511 and holds a License No. (New York).

The current practice location address for Kanneganti Divya is 120 Mineola Blvd Ste 210, Mineola, NY and can be reached out via phone at 516-663-4600 and via fax at 516-663-3008.

Location: 120 Mineola Blvd Ste 210, Mineola, NY, 11501-2366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861912511
Provider Name
Kanneganti Divya
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
120 Mineola Blvd Ste 210, Mineola, NY, 11501-2366
Phone Number
516-663-4600
Fax Number
516-663-3008
Provider Enumeration Date
06/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 Mineola Blvd Ste 210
City
Mineola
State
New York
Zip
11501-4077
Phone Number
516-663-4600
Fax Number
516-663-3008
person
Provider Business Mailing Address Details
Address
120 Mineola Blvd Ste 210
City
Mineola
State
New York
Zip
11501-4077
Phone Number
516-663-4600
Fax Number
516-663-3008
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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