Provider Demographics
NPI:1316365794
Name:RAY, DIVYA THAPAR (MD)
Entity Type:Individual
Prefix:DR
First Name:DIVYA
Middle Name:THAPAR
Last Name:RAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DIVYA
Other - Middle Name:
Other - Last Name:THAPAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:505 PARNASSUS AVE RM M-24
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0203
Mailing Address - Country:US
Mailing Address - Phone:415-353-1529
Mailing Address - Fax:415-353-8499
Practice Address - Street 1:505 PARNASSUS AVE RM M-24
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0203
Practice Address - Country:US
Practice Address - Phone:415-353-1529
Practice Address - Fax:415-353-8499
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program