Bappanad, Divya
Bappanad, Divya is an sole proprietor health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Bappanad, Divya can be contacted via phone (360) 414-2730.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2367
Phone: (360) 414-2730
Fax: (360) 414-2739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 141454 | North Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD60329899 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60329899 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD60329899 | Washington |
Profile Details
| NPI number | 1205001823 |
|---|---|
| LBN Legal business name | Bappanad, Divya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Nov 11th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205001823 | NPPES |
| Washington | MEDICAID | 2027977 |
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