Individual
ANNIKA P DIVAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118-2999
(617) 638-8000
Mailing address
1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118-2999
(617) 638-8000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
03/23/2023
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