# THOMAS V DIVINAGRACIA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083859649
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | 046129 | CT | — |
| 208600000X | Surgery Physician | 046129 | CT | — |
| 2086S0129X | Vascular Surgery Physician | 046129 | CT | Yes |

## Other

- **Enumeration date:** 12/11/2008
- **Last updated:** 03/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 046129 | CONNECTICARE | CT |
| 01 | — | 06-1406459 | GREAT-WEST HEALTHCARE | CT |
| 01 | — | 061406459 | PRIVATE HEALTHCARE SYSTEMS | CT |
| 01 | — | 1083859649 | ANTHEM BCBS | CT |
| 05 | — | 1083859649 | — | CT |
| 01 | — | 3V3712 | HEALTH NET | CT |
| 01 | — | 46286 | HEALTH NEW ENGLAND | CT |
| 01 | — | 508455 | WELLCARE | CT |
| 01 | — | 7299062 | CIGNA | CT |
| 01 | — | P4028934 | OXFORD | CT |