Raghavan, Divya

Raghavan, Divya is an sole proprietor health care provider with primary practice located at 611 W Park St Carle Forum, Ll, Urbana IL 61801-2500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Raghavan, Divya can be contacted via phone (217) 383-3110.

Contact Information

Primary practice address
611 W Park St Carle Forum, Ll Urbana IL 61801-2500
Phone: (217) 383-3110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125061317 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 9423487-1205 Utah

Profile Details

NPI number 1972852333
LBN Legal business name Raghavan, Divya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2012
Last updated Nov 12th, 2021 - about 4 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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