DIVYA REDDY GAVINI

SHREVEPORT, LA
NPI1487388385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-07-15
Last Update Date2022-07-15
Business Address
DIVYA REDDY GAVINI MD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-330-7661
Mailing Address
DIVYA REDDY GAVINI MD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: