Individual
DIVYA SEETHARAM RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-0488
(214) 456-4486
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-0488
(214) 456-4486
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P6702
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
P6702
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2010
Last updated
04/04/2019
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