JAGANNADHARAO DIVVELA MD - NPI 1093790867 - Internal Medicine in Sterling Heights, MI

Q: What is Jagannadharao Divvela's NPI number?

The NPI number for Jagannadharao Divvela is 1093790867. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Jagannadharao Divvela's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Jagannadharao Divvela Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAGANNADHARAO DIVVELA MD (NPI 1093790867) is an individual internal medicine provider in Sterling Heights, Michigan, licensed in Michigan (4301039338) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1093790867

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAGANNADHARAO DIVVELACredential: MD

Location Address8244 METROPOLITAN PKWY, SUITE CSterling Heights, MI 48312-2778

Mailing Address8244 Metropolitan Pkwy, Suite CSterling Heights, MI 48312-2778 · (586) 795-4060 · Fax (586) 795-5596

Phone(586) 795-4060

Fax(586) 795-5596

Sole ProprietorNo

Enumeration DateDecember 14, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093790867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301039338

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8244 METROPOLITAN PKWY, Sterling Heights, MI 48312

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Other Identifiers 2

Medicaid4587910MI

Medicare UPINA76071MI

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN M HUDOCK MD

Family Medicine

8244 METROPOLITAN PKWY, SUITE C
STERLING HEIGHTS, MI 48312

Macomb County (586) 795-4060

METRO DIAGNOSTIC IMAGING, PLLC

Internal Medicine

8244 METROPOLITAN PKWY, SUITE B
STERLING HEIGHTS, MI 48312

Macomb County (586) 795-4060

BAKULKUMAR M PATEL MD

Psychiatry & Neurology (Neurology)

8244 METROPOLITAN PKWY, SUITE C
STERLING HEIGHTS, MI 48312

Macomb County (586) 795-4060

ELIE BANNA MD

Obstetrics & Gynecology

8244 METROPOLITAN PKWY, SUITE C
STERLING HEIGHTS, MI 48312

Macomb County (586) 795-4060

MACOMB PHYSICIANS GROUP, PLLC

Internal Medicine

8244 METROPOLITAN PKWY, SUITE C
STERLING HEIGHTS, MI 48312

Macomb County (586) 795-4060

SAVITHA KADAKOL MD

Internal Medicine (Hematology & Oncology)

8244 METROPOLITAN PKWY, SUITE A
STERLING HEIGHTS, MI 48312

Macomb County (586) 795-4060

GORDHAN G DIORA MD

Internal Medicine

8244 METROPOLITAN PKWY, SUITE C
STERLING HEIGHTS, MI 48312

Macomb County (586) 795-4060

SARABJIT NEELAM MD

Internal Medicine (Gastroenterology)

8244 METROPOLITAN PKWY, SUITE C
STERLING HEIGHTS, MI 48312

Macomb County (586) 795-4060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jagannadharao Divvela's NPI number?

The NPI number for Jagannadharao Divvela is 1093790867. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Jagannadharao Divvela located?

Jagannadharao Divvela practices at 8244 Metropolitan Pkwy Suite C, Sterling Heights, MI 48312. The listed phone number is (586) 795-4060.

What is Jagannadharao Divvela's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jagannadharao Divvela was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.