Rao, Divya Annam

Rao, Divya Annam is an individual health care provider with primary practice located at 325 Medical Pkwy Suite 200, Greer SC 29650-2457. 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 / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Rao, Divya Annam can be contacted via phone (864) 797-9550.

Contact Information

Primary practice address
325 Medical Pkwy Suite 200 Greer SC 29650-2457
Phone: (864) 797-9550
Fax: (864) 797-9555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38786 South Carolina

Profile Details

NPI number 1851658041
LBN Legal business name Rao, Divya Annam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Jun 11th, 2021 - about 4 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 1851658041 NPPES
South Carolina MEDICAID 387860

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