Individual
DIVYA MANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
237 W SCHROCK RD STE B, WESTERVILLE, OH 43081-2874
(614) 627-1410
Mailing address
237 W SCHROCK RD STE B, WESTERVILLE, OH 43081-2874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.137530
OH
Other
Enumeration date
04/08/2017
Last updated
04/06/2022
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