Dr. Prashanthi Divakar, MD
Otolaryngology in Lebanon, NH. Individual provider (NPI-1).
NPI number1871024166
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1871024166
- Entity type
- Individual (NPI-1)
- Name
- Dr. Prashanthi Divakar
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2017
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 33070 | NH | Yes |
| 207Y00000X | Otolaryngology | 316733 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1 Medical Center DrLebanon, NH 03756-1000
Phone 603-650-5000
Mailing address
Po Box 810Hanover, NH 03755-0810
Phone 603-308-1472
Other practice locations
1275 York Ave
New York, NY 10065-6007
New York, NY 10065-6007
Phone 212-639-2000
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