Bhagavatula, Divya

Bhagavatula, Divya is an individual health care provider with primary practice located at 1155 N Mayfair Rd , Milwaukee WI 53226-3462. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bhagavatula, Divya can be contacted via phone (414) 955-8900.

Contact Information

Primary practice address
1155 N Mayfair Rd Milwaukee WI 53226-3462
Fax: (414) 955-6285
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5062 Wisconsin

Profile Details

NPI number 1497130371
LBN Legal business name Bhagavatula, Divya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2015
Last updated May 1st, 2023 - about 2 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.

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