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Individual
DIVYA JANARDHANAN
Active
Individual
DIVYA JANARDHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
282313
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
T0525
TX
208VP0000X
Pain Medicine Physician
Primary
T0525
TX
Other
Enumeration date
05/04/2016
Last updated
10/19/2024
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