Most Relevant Information
Provider Data
| NPI Number: | 1003445982 |
| Provider Name: | DIVYA PUBBI DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2020 |
| Last Updated: | 06/20/2023 |
Provider Practice Location
1405 FOULK RD STE 101
WILMINGTON
DE
198032769
Practice Location Phone/Fax
| Phone: | 3026553242 |
| Fax: |
Provider Mailing Location
1405 FOULK RD STE 101
WILMINGTON
DE
198032769
Provider Mailing Phone/Fax
| Phone: | 3026553242 |
| Fax: |