Mamootil, Divya
Mamootil, Divya is an individual health care provider with primary practice located at 801 Ostrum St , Bethlehem PA 18015-1000. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Mamootil, Divya can be contacted via phone (866) 785-8537.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MT231028 | Pennsylvania |
Profile Details
NPI number | 1134794050 |
---|---|
LBN Legal business name | Mamootil, Divya |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2021 |
Last updated | Jun 13th, 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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