Individual
DIVYA SHRAVANI KAMINEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(646) 413-9607
Mailing address
17071 WINDWARD BLVD UNIT 204, MILFORD, DE 19963-5018
(317) 712-6754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0024682
DE
Other
Enumeration date
07/27/2017
Last updated
09/01/2022
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