Individual
DIVYA MANIVANNAN DEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 E HERNDON AVE, FRESNO, CA 93720-3306
(559) 450-3000
Mailing address
428 MADERA AVE APT NO10, SUNNYVALE, CA 94086-7447
(650) 382-8572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A191906
CA
208M00000X
Hospitalist Physician
Primary
A191906
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2021
Last updated
06/05/2025
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