Raviendran, Divya T

Raviendran, Divya T is an individual health care provider with primary practice located at 3151 Crow Canyon Pl , San Ramon CA 94583-1359. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Raviendran, Divya T can be contacted via phone (888) 663-6331.

Contact Information

Primary practice address
3151 Crow Canyon Pl San Ramon CA 94583-1359
Phone: (888) 663-6331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A81826 California

Profile Details

NPI number 1639106610
LBN Legal business name Raviendran, Divya T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Sep 14th, 2023 - about 2 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 1639106610 NPPES
California Other A81826 M.D LICENSE

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