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MR. DIVYANG PRADHAN MBBS
NPI 1205772415
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since April 28, 2026
530 NE GLEN OAK AVENUE, PEORIA, IL 61637(309) 624-9351(309) 655-7732 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Divyang Pradhan Mbbs NPPES

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

MR. DIVYANG PRADHAN MBBS (NPI 1205772415) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1205772415
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. DIVYANG PRADHANCredential: MBBS
Location Address530 NE GLEN OAK AVENUEPeoria, IL 61637
Mailing AddressOsf St Francis Medical Centre, 530 Ne Glen Oak Avenue,, Internal Medicine Residency Attn: Marti SokolowskiPeoria, IL 61637 · (309) 624-9351 · Fax (309) 655-7732
Phone(309) 624-9351
Fax(309) 655-7732
Sole ProprietorNo
Enumeration DateApril 28, 2026
✔ NPI 1205772415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NE GLEN OAK AVENUE, Peoria, IL 61637
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Other Providers at the Same Location NPPES 9

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

DR. CHRISTINA MARIE ROPP PT, GCS
Physical Therapist
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Peoria County (309) 655-2381
CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES, LTD.
Radiology (Diagnostic Radiology)
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Peoria County (309) 740-4272
MAHER SALEM M.D.
Psychiatry & Neurology (Epilepsy)
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Peoria County (309) 624-4000
TARA MCGOVERN
Speech-Language Pathologist
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Peoria County (309) 655-6961
MARYAM MOIN M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Peoria County (309) 655-2702
MR. AMANDEEP SEHRA M.D.
Pediatrics
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Peoria County (309) 655-2274
DR. HAIG HAGOP MANOUGIAN M.D.
Pediatrics
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Peoria County (309) 655-2274
FREMITA CHELSEA FREDRICK
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Peoria County (309) 655-2274

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 Divyang Pradhan's NPI number?

The NPI number for Divyang Pradhan is 1205772415. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Divyang Pradhan located?

Divyang Pradhan practices at 530 NE Glen Oak Avenue, Peoria, IL 61637. The listed phone number is (309) 624-9351.

What is Divyang Pradhan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Divyang Pradhan was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.