Panneerselvam, Divya
Panneerselvam, Divya is an individual health care provider with primary practice located at 316 Del Prado Blvd S , Cape Coral FL 33990-1710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Panneerselvam, Divya can be contacted via phone (239) 226-4592.Contact Information
Primary practice address
316 Del Prado Blvd S
Cape Coral FL 33990-1710
Phone: (239) 226-4592
Fax: (239) 458-0623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME123954 | Florida |
Profile Details
| NPI number | 1083026108 |
|---|---|
| LBN Legal business name | Panneerselvam, Divya |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2014 |
| Last updated | Jul 5th, 2016 - about 8 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 | 1083026108 | NPPES |
| Florida | MEDICAID | 014953400 |
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