Pati, Divya R

Pati, Divya R is an individual health care provider with primary practice located at 2380 N Ferguson Ave Suite 104, Tucson AZ 85712-2837. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Pati, Divya R can be contacted via phone (520) 324-1010.

Contact Information

Primary practice address
2380 N Ferguson Ave Suite 104 Tucson AZ 85712-2837
Phone: (520) 324-1010
Fax: (520) 324-0029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R72805 Arizona
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 48561 Arizona

Profile Details

NPI number 1780029090
LBN Legal business name Pati, Divya R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2013
Last updated May 4th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780029090 NPPES
Arizona MEDICAID 147298

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