Individual
DIVYA KORPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036148310
IL
207RC0000X
Cardiovascular Disease Physician
036148310
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
036148310
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
82407
WI
390200000X
Student in an Organized Health Care Education/Training Program
036148310
IL
Other
Enumeration date
06/25/2016
Last updated
10/14/2025
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