Individual
DR. DIVYA GANGWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
637 MERCED ST, NEWMAN, CA 95360-1070
(209) 862-0270
(209) 862-0274
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 384-6493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A123793
CA
207Q00000X
Family Medicine Physician
MT 194824
PA
Other
Enumeration date
08/11/2009
Last updated
05/08/2024
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