DIVYA PANNALA M.D.
NPI 1093949703
Family Medicine in Modesto, CA

Active since May 08, 2009
3612 DALE RD, MODESTO, CA 95356(209) 522-0146 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divya Pannala M.d. NPPES

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

DIVYA PANNALA M.D. (NPI 1093949703) is an individual family medicine provider in Modesto, California, licensed in California (A116350) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1093949703
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIVYA PANNALACredential: M.D.
Location Address3612 DALE RDModesto, CA 95356-0500
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097
Sole ProprietorNo
Enumeration DateMay 8, 2009
Last NPPES UpdateNovember 26, 2012
NPI 1093949703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A116350
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3612 DALE RD, Modesto, CA 95356

Other Identifiers 1

OtherMT-193188PA · License

Other Providers at the Same Location NPPES 20

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

Family Medicine
3612 DALE RD
MODESTO, CA 95356
Family Medicine
3612 DALE RD
MODESTO, CA 95356
Family Medicine
3612 DALE RD
MODESTO, CA 95356
Family Medicine
3612 DALE RD
MODESTO, CA 95356
Family Medicine
3612 DALE RD
MODESTO, CA 95356
Family Medicine
3612 DALE RD
MODESTO, CA 95356
Family Medicine
3612 DALE RD
MODESTO, CA 95356
Family Medicine
3612 DALE RD
MODESTO, CA 95356

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 Divya Pannala's NPI number?

The NPI number for Divya Pannala is 1093949703. It was assigned to this individual provider in the NPPES registry on May 8, 2009.

Where is Divya Pannala located?

Divya Pannala practices at 3612 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 522-0146.

What is Divya Pannala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Divya Pannala was last updated on November 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.