Individual
DHIVYA KANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8210 CALLAGHAN RD, SAN ANTONIO, TX 78230-4775
(210) 233-7000
Mailing address
1102 BARCLAY ST, SAN ANTONIO, TX 78207-7161
(210) 233-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
V6330
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/20/2026
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