Individual
DIVYA MOTKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6420 CLAYTON ROAD, RICHMOND HEIGHTS, MO 63117
(314) 968-8374
(314) 768-7101
Mailing address
6420 CLAYTON ROAD, RICHMOND HEIGHTS, MO 63117
(314) 768-8374
(314) 768-7101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD46405
PA
Other
Enumeration date
04/20/2015
Last updated
08/20/2021
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