Individual
DR. DIVYA AWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BOX 1262, BROOKLYN, NY 11203-2012
(718) 270-8667
Mailing address
450 CLARKSON AVE, BOX 1262, BROOKLYN, NY 11203-2012
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
284102
NY
2085R0202X
Diagnostic Radiology Physician
4301096804
MI
Other
Enumeration date
06/23/2010
Last updated
08/09/2022
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