Individual
DIVYA AYYALA-SOMAYAJULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
132 S 10TH STREET, 480 MAIN BUILDING, PHILADELPHIA, PA 19107-5244
(215) 955-8900
Mailing address
132 S 10TH STREET, 480 MAIN BUILDING, PHILADELPHIA, PA 19107-5244
(215) 955-8900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
25MA12395600
NJ
207RG0100X
Gastroenterology Physician
Primary
MD484695
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157527
CALIFORNIA MEDICAL LICENSE
CA
01
—
MD484695
LICENSE
PA
Enumeration date
03/29/2017
Last updated
09/17/2024
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