Vangala, Divya

Vangala, Divya is an individual health care provider with primary practice located at 33 Tower St , Somerville MA 02143-1426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vangala, Divya can be contacted via phone (617) 591-6300.

Contact Information

Primary practice address
33 Tower St Somerville MA 02143-1426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2020-02955 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 293243 Massachusetts

Profile Details

NPI number 1003349713
LBN Legal business name Vangala, Divya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2017
Last updated Aug 11th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003349713 NPPES
North Carolina Other 2020-02955 MD LICENSE

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