Pingle, Divya

Pingle, Divya is an individual health care provider with primary practice located at 60 Memorial Medical Pkwy , Palm Coast FL 32164-5980. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pingle, Divya can be contacted via phone (386) 586-4743.

Contact Information

Primary practice address
60 Memorial Medical Pkwy Palm Coast FL 32164-5980
Phone: (386) 586-4743
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036108508 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME96478 Florida

Profile Details

NPI number 1518926021
LBN Legal business name Pingle, Divya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Feb 12th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518926021 NPPES
Illinois MEDICAID 036108508

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