Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIVYA MOODALBAIL
ActiveDIVYA MOODALBAIL is a Pediatric Nephrology healthcare provider located in SANTA CLARA, California. NPI 1720265929 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nephrology · SANTA CLARA, CA
Registration Details
- NPI Number
- 1720265929
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2008 (18.5678365938 yrs)
- Last Updated
- Jan 10, 2022
- License
-
CA (CA)
Practice Information
- Address
-
710 LAWRENCE EXPYSANTA CLARA, CA, 950515173Browse CA providers · Browse ZIP 95051
- Phone
- 4088511240
- Fax
- 4088511240
- Primary Specialty
-
Pediatric Nephrology
2080P0210X
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.