Individual
DR. NISHA DIVAKARUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, PEDIATRIC EDUCATION OFFICE - N5W70, BALTIMORE, MD 21201-1544
(410) 328-6662
Mailing address
22 S GREENE ST, PEDIATRIC EDUCATION OFFICE - N5W70, BALTIMORE, MD 21201-1544
(410) 328-6662
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D87462
MD
Other
Enumeration date
03/29/2016
Last updated
05/30/2019
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