Provider Demographics
NPI:1104566108
Name:MENGHANI, DIVYA (MBBS)
Entity type:Individual
Prefix:
First Name:DIVYA
Middle Name:
Last Name:MENGHANI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 S HYDE PARK BLVD APT 15E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-4265
Mailing Address - Country:US
Mailing Address - Phone:317-798-7917
Mailing Address - Fax:
Practice Address - Street 1:740 S LIMESTONE ROOM J401
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-218-5038
Practice Address - Fax:859-257-0754
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program