Divya Vangala
M.D. | Pediatrics | Female
Divya Vangala, M.D. is a Somerville, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Divya Vangala is
33 Tower St, Somerville, Massachusetts - 02143-1426. She can be contacted on phone at
617-591-6300.
Divya Vangala is a sole proprietor of her business.
NPI number (Unique professional ID) for Divya Vangala is
1003349713 which was assigned by NPPES on 10 Apr, 2017 and it was last updated on 11 Aug, 2022.
Divya Vangala license number is
293243 for Pediatrics (208000000X) in Massachusetts.
Divya Vangala is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Divya Vangala basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Divya Vangala |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
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Business Address:
Divya Vangala address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 33 Tower St
Somerville, MA, 02143-1426
United States |
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| Phone Number : | 617-591-6300 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003349713 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Apr, 2017 |
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| Last Updated On : | 11 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Divya Vangala are as mentioned. Primary taxonomy code for Divya Vangala, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2020-02955 | NC |
| 208000000X | Pediatrics | Yes | 293243 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Divya Vangala such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2020-02955 | Other | NC | MD LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1493 Cambridge St
Cambridge, MA, 02139-1099
United States |
|---|
Business Location:
Patients can refer following map for directions to
Divya Vangala practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.