Individual
DIVYA G. HEDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-9600
Mailing address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-9600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
28080
SC
2084P0800X
Psychiatry Physician
LL28080
SC
2084P0805X
Geriatric Psychiatry Physician
Primary
35.09601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055610
—
OH
05
—
280805
—
SC
Enumeration date
10/24/2006
Last updated
08/06/2013
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