Divya Lakshmi Selvakumar
WELLNESS SOURCE LLC


Address: 6305 Ivy Ln, Suite 101, Greenbelt, MD 20770-1465
Phone: 4434533346

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.

Physician Overview

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

Other Locations

Address Phone Organization
6305 Ivy Ln, Suite 101, Greenbelt, MD 20770-1465 4434533346 WELLNESS SOURCE LLC

Organization Information

Organization Legal Name WELLNESS SOURCE LLC
Physicians 3

Physicians with the same organization

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

Office Location

Street Address 6305 IVY LN
SUITE 101
City GREENBELT
State MD
Zip 20770-1465

Physicians in the same location

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

Physicians in the same zip code

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
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Dataset Information

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.

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