Madiraju, Divya

Madiraju, Divya is an individual health care provider with primary practice located at 4413 Ward St , North Richland Hills TX 76180-8044. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Madiraju, Divya can be contacted via phone (325) 603-8500.

Contact Information

Primary practice address
4413 Ward St North Richland Hills TX 76180-8044
Phone: (325) 603-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 40713 Texas

Profile Details

NPI number 1356035372
LBN Legal business name Madiraju, Divya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2023
Last updated Jun 21st, 2024 - about last year

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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