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Individual

DIVYA PANA SHENOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1225 4TH ST NE, WASHINGTON, DC 20002-3431
(202) 347-8500
Mailing address
1225 4TH ST NE, WASHINGTON, DC 20002-3431

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101277413
VA
207Q00000X
Family Medicine Physician
D0095907
MD
207Q00000X
Family Medicine Physician
Primary
MD210002783
DC

Other

Enumeration date
04/01/2015
Last updated
03/14/2025
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