DIVYA MANDA (NPI# 1669905485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669905485 |
| Entity Type | Individual |
| Full Name | DIVYA MANDA |
| Credential | M.D. |
| Practice Address |
3705 Olentangy River Rd Ste 260 Columbus OH 43214-3467 |
| Practice Telephone | 6145336611 |
| Practice Fax Number | 6145661429 |
| Mailing Telephone | 6145336611 |
| Mailing Fax Number | 6145661429 |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2020-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 290 E Town St, Columbus, OH 432154602 | 6147885400 | 6145660766 |
| 4850 E Main St, Columbus, OH 432133194 | 6145660950 | 6145660766 |
| Street Address |
3705 OLENTANGY RIVER RD STE 260 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912147992 | Carolyn E Delaney | Physical Therapist | 3705 Olentangy River Rd Ste 260, Columbus, OH 43214-3467 | 2009-03-03 |
| 1952884439 | Teresa Jane Lannutti | Physical Therapist | 3705 Olentangy River Rd Ste 260, Columbus, OH 43214-3467 | 2018-09-11 |
| 1528451929 | Laura Hemlepp Hernandez | Family Medicine | 3705 Olentangy River Rd Ste 260, Columbus, OH 43214-3467 | 2015-03-09 |
| 1619276656 | Ohiohealth Corporation | Family Medicine | 3705 Olentangy River Rd Ste 260, Columbus, OH 43214-3467 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615335 | Ijeoma Osigwe | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr Ste 4a, Columbus, OH 43215-7508 | 2020-09-29 |
| 1447865175 | Shelia Renee Powers | Student in an Organized Health Care Education/Training Program | 403 Jackson Cir, Columbus, MS 39705-1261 | 2020-09-10 |
| 1154934792 | Allison Lee Stillman | Student in an Organized Health Care Education/Training Program | 2033 Bedford Rd, Columbus, OH 43212-1012 | 2020-08-24 |
| 1801419155 | Adenike Eketunde | Student in an Organized Health Care Education/Training Program | 6500 Whittlesey Blvd Apt 418, Columbus, GA 31909-7270 | 2020-05-21 |
| 1841812245 | Marilyn Leif | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Ste 670, Columbus, OH 43210-1267 | 2020-05-08 |
| 1497375141 | Michaela Bertsch | Student in an Organized Health Care Education/Training Program | 15505 Zodiac St Ne, Columbus, MN 55025-9458 | 2020-04-23 |
| 1194345231 | Giancarlo Roberto Valiente | Student in an Organized Health Care Education/Training Program | 44 W Kelso Rd Apt 242b, Columbus, OH 43202-2031 | 2020-04-18 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1396364519 | Damian Mercier | Student in an Organized Health Care Education/Training Program | Baptist Memorial Hospital- Gt 2520 5th Str N., Columbus, MS 39702 | 2020-04-09 |
| 1669091831 | Kaitlin Jessica Kavanagh | Student in an Organized Health Care Education/Training Program | 915 Olentangy River Rd # 2140, Columbus, OH 43212-3153 | 2020-04-08 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.