Provider Demographics
NPI:1881647758
Name:NAVANI, DIVYA K (MD)
Entity Type:Individual
Prefix:DR
First Name:DIVYA
Middle Name:K
Last Name:NAVANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9063 POINT CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-5475
Mailing Address - Country:US
Mailing Address - Phone:321-214-0028
Mailing Address - Fax:800-675-4534
Practice Address - Street 1:9063 POINT CYPRESS DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32836-5475
Practice Address - Country:US
Practice Address - Phone:321-214-0028
Practice Address - Fax:800-675-4534
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88913208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG71123Medicare UPIN
FLU2473YMedicare ID - Type Unspecified