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Individual

DR. DIVYA RAMARAJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53323
CO
207R00000X
Internal Medicine Physician
MD155046
OR
207R00000X
Internal Medicine Physician
MT193113
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500637691
OR
01
P00973944
RR MEDICARE
OR
Enumeration date
07/16/2008
Last updated
02/09/2016
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