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Individual

DIVYA RANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
853 JEFFERSON AVE STE 200, MEMPHIS, TN 38103
(901) 448-6575
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35087698
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
44265
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003180141A
GA
05
04189069
MS
05
1477757912
MO
05
1518200
TN
05
179020
AL
05
182618001
AR
Enumeration date
06/11/2007
Last updated
02/25/2025
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