Individual
KOTHAI DIVYA GURUSWAMY SANGAMESWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
(910) 223-0511
Mailing address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
(910) 223-0511
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
2020-00969
NC
207RN0300X
Nephrology Physician
Primary
32956
OK
Other
Enumeration date
07/02/2013
Last updated
11/17/2025
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