DIVYA RAGHAVAN (NPI# 1972852333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972852333 |
| Entity Type | Individual |
| Full Name | DIVYA RAGHAVAN |
| Credential | M.D. |
| Practice Address |
611 W Park St Carle Forum, Ll Urbana IL 61801-2500 |
| Mailing Address |
30n 1900 E 4r312 Salt Lake City UT 84132-0006 |
| Practice Telephone | 2173833110 |
| Mailing Telephone | 8015818193 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125061317 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
9423487-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467706598 | Divya Raghavan | Physical Therapist | 505 W Olive Ave Ste 468, Sunnyvale, CA 94086-7625 | 2012-10-26 |
| Street Address |
611 W PARK ST CARLE FORUM, LL |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193416 | Mark L Saxton | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2005-06-10 |
| 1083214514 | Karissa Nelson | Physical Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-10-26 |
| 1720698756 | Justin Matthew Felix | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-04 |
| 1033729306 | Patricia Fairchild | Occupational Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-03 |
| 1851909782 | Shruti Agarwal | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-16 |
| 1396363321 | Muhammad Umair Rana | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-07 |
| 1740807817 | Salma Malik | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-06 |
| 1477171536 | Audrey T Lam | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1255959318 | Corbin Reid Mah | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
| 1093332652 | Knika Sethi | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760828842 | Sravan Kumar Jasti | Internal Medicine | 611 W. Park St., Urbana, IL 61801-2500 | 2013-05-16 |
| 1649349259 | Jean L. Holley | Internal Medicine | 611 W. Park St., Nephrology, Urbana, IL 61801-2500 | 2006-11-07 |
| 1255356358 | Stephen Humpherys | Internal Medicine | 602 W University Ave, Urbana, IL 61801-2530 | 2006-07-12 |
| 1316977614 | Abdel-moneim M Attia | Internal Medicine | 602 W. University Avenue, Nephrology, Urbana, IL 61801 | 2006-07-03 |
| 1699774158 | Erlandas Ulozas | Internal Medicine | 611 W. Park St., Nephrology, Urbana, IL 61801 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
| 1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
| 1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
| 1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.