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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TODD LEE DIVAN, DPM

Active Sole Proprietor

DR. TODD LEE DIVAN, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in UNION CITY, Tennessee. NPI 1235201898 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · UNION CITY, TN

Registration Details

NPI Number
1235201898
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2006 (19.726852917538 yrs)
Last Updated
May 2, 2013
Licenses
016-004761 (IL)
734 (TN)
Sole Proprietor
Yes

Practice Information

Address
1415 E REELFOOT AVE
UNION CITY, TN, 382615812
Browse TN providers · Browse ZIP 38261
Phone
7318850220
Fax
7318850216
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in UNION CITY, TN

Name Credential NPI
DR. BHEKUMUZI MCGLEN KHUMALO DPM 1144312521
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.