Individual
DR. ABHAY ASHOK DIVEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBBS
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-9063
(214) 456-2333
(214) 456-2333
Mailing address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-9063
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
04-39416
KS
2080P0202X
Pediatric Cardiology Physician
2016032920
MO
2080P0202X
Pediatric Cardiology Physician
37499
IA
2080P0202X
Pediatric Cardiology Physician
DR.0057261
CO
2080P0202X
Pediatric Cardiology Physician
Primary
T3461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71365
WELLMARK BCBS
IA
Enumeration date
10/04/2007
Last updated
04/19/2022
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