Individual
DIVYA VODIKAD JAIPRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4230 CRUMS MILL RD, HARRISBURG, PA 17112-2898
(717) 233-6171
Mailing address
205 GRANDVIEW AVE, SUITE 210, CAMP HILL, PA 17011-1708
(717) 972-7917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD454073
PA
Other
Enumeration date
06/24/2008
Last updated
03/03/2016
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