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Divya Janardhanan

in Houston, TX. Individual provider (NPI-1).

NPI number1043666423
StatusActive
Last updated in NPPESOct 19, 2024

Details

NPI
1043666423
Entity type
Individual (NPI-1)
Name
Divya Janardhanan
Sex
Female
Sole proprietor
Yes
Enumeration date
May 4, 2016
Certification date
Oct 19, 2024
Last updated
Oct 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X T0525TXYes
207L00000X Anesthesiology282313MA
207LP2900X Anesthesiology, Pain MedicineT0525TX

Practice location

13009 Gulf Commerce Dr Ste 200
Houston, TX 77034-1576

Phone 832-916-2075 · Fax 832-916-2480

Mailing address

Po Box 57781
Webster, TX 77598-7781

Phone 832-916-2075 · Fax 832-916-2480

Other practice locations

1015 W Medical Center Blvd Ste 2800
Webster, TX 77598-4081

Phone 832-916-2075 · Fax 832-916-2480

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