Individual
DIVYA MOODALBAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1240
(408) 851-1240
Mailing address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
CA
CA
Other
Enumeration date
01/30/2008
Last updated
01/10/2022
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