Most Relevant Information
Provider Data
| NPI Number: | 1003506593 |
| Provider Name: | DIVYA UDAYAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2023 |
| Last Updated: | 06/21/2023 |
Provider Practice Location
2200 CHILDREN'S WAY
8232 DOT
NASHVILLE
TN
37232
Practice Location Phone/Fax
| Phone: | 6159362555 |
| Fax: | 6159363601 |
Provider Mailing Location
2200 CHILDREN'S WAY
8232 DOT
NASVHILLE
TN
37232
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |