Individual
CHAYA DIVYA RAJEEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 S COLLEGE AVE STE 160, NEWARK, DE 19713-1302
(302) 831-8893
Mailing address
776 LEMOS LN, FREMONT, CA 94539-3774
(510) 378-5979
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
J1-0014526
DE
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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