Divya Lakshmi Selvakumar (NPI# 1619477478, PAC ID# 5799047171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
Nation Provider ID (NPI) | 1619477478 |
PAC ID by PECOS | 5799047171 |
Professional Enrollment ID | I20180322002839 |
Full Name | Divya Lakshmi Selvakumar |
Organization Legal Name | WELLNESS SOURCE LLC |
Address |
6305 Ivy Ln Suite 101 Greenbelt MD 20770-1465 |
Phone Number | 4434533346 |
Gender | F |
Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
Graduation Year | 2000 |
Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Group Practice PAC ID | 2668751454 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
6305 Ivy Ln, Suite 101, Greenbelt, MD 20770-1465 | 4434533346 | WELLNESS SOURCE LLC |
Organization Legal Name | WELLNESS SOURCE LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Reia M Tobias | Clinical Social Worker | Wellness Source LLC | 6305 Ivy Ln, Suite 101, Greenbelt, MD 20770-1465 |
Brittany S Johnson | Clinical Social Worker | Wellness Source LLC | 6305 Ivy Ln, Suite 101, Greenbelt, MD 20770-1465 |
Street Address |
6305 IVY LN SUITE 101 |
City | GREENBELT |
State | MD |
Zip | 20770-1465 |
Name | Specialty | Organization | Address |
---|---|---|---|
Reia M Tobias | Clinical Social Worker | Wellness Source LLC | 6305 Ivy Ln, Suite 101, Greenbelt, MD 20770-1465 |
Brittany S Johnson | Clinical Social Worker | Wellness Source LLC | 6305 Ivy Ln, Suite 101, Greenbelt, MD 20770-1465 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carol M Simon | Clinical Social Worker | 8955 E Edmonston Rd, Greenbelt, MD 20770-1006 | |
Gerald L Thompson | Optometry | Td Annapolis Inc | 5900 Greenbelt Rd, Greenbelt, MD 20770-1010 |
Parvej Malik | Family Medicine | Community Clinic, Inc | 9220 Springhill Ln, Greenbelt, MD 20770-1203 |
Maciej Poltorak | Neurology | Neurological Medicine, P.a. | 7500 Hanover Pkwy, Suite 201, Greenbelt, MD 20770-2009 |
Therian Brown | Qualified Audiologist | Associates In Ear Nose and Throat Surgery PC | 7500 Hanover Pkwy, Suite 207, Greenbelt, MD 20770-2009 |
Perry William Alexion | Otolaryngology | Associates In Ear Nose and Throat Surgery PC | 7500 Hanover Pkwy, Suite 207, Greenbelt, MD 20770-2009 |
Michael Damiano | Otolaryngology | Associates In Ear Nose and Throat Surgery PC | 7500 Hanover Pkwy, Suite 207, Greenbelt, MD 20770-2009 |
Pallavi Agawane | Physical Therapy | Mosaddegh Physical Therapy Inc | 7500 Hanover Pkwy, Suite 103, Greenbelt, MD 20770-2011 |
Natesa P Shanmugam | Critical Care (intensivists) | 7500 Hanover Pkwy, Suite 105, Greenbelt, MD 20770-2011 | |
Hardik J Parekh | Physical Therapy | Mosaddegh Physical Therapy Inc | 7500 Hanover Pkwy, Suite 103, Greenbelt, MD 20770-2011 |
Find all physicians in zip 20770 |
City | GREENBELT |
Zip Code | 20770 |
Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
City + Specialty | GREENBELT + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Divya Lakshmi Selvakumar.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.