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Individual

DR. DIVYA SUBRAMANIAN KHURANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, ERIE AVENUE AND FRONT STREET, PHILADELPHIA, PA 19134
(215) 427-5470
(215) 427-4393
Mailing address
1140 GREENTREE LN, NARBERTH, PA 19072-1218
(215) 427-5470
(215) 427-4393

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD064264L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017017440006
PA
Enumeration date
05/12/2006
Last updated
08/07/2017
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