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Individual
DR. DIVYA MANIVANNAN
Active
Individual
DR. DIVYA MANIVANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D..
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME183487
FL
207QA0505X
Adult Medicine Physician
Primary
A199096
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2022
Last updated
09/03/2026
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