Individual
ISHANGI DIVEKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 LLOYD ST, CARRBORO, NC 27510-1823
(919) 942-8741
Mailing address
2182 BRISTOL CREEK DR, MORRISVILLE, NC 27560-7883
(773) 814-8751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
Other
Enumeration date
06/12/2020
Last updated
10/13/2025
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