DIVYA RAGHAVAN

URBANA, IL
NPI1972852333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: UT  9423487-1205)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125061317)
Enumeration Date2012-08-31
Last Update Date2021-11-12
Business Address
DIVYA RAGHAVAN M.D.
611 W PARK ST CARLE FORUM, LL
URBANA, IL 61801-2500
Phone number: 217-383-3110
Mailing Address
DIVYA RAGHAVAN M.D.
30N 1900 E 4R312
SALT LAKE CITY, UT 84132-0006
Phone number: 801-581-8193