DR. DIVYA SRIVASTAVA (NPI# 1689875825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689875825 |
| Entity Type | Individual |
| Full Name | DR. DIVYA SRIVASTAVA |
| Credential | M.D. |
| Practice Address |
5939 Harry Hines Blvd Utsw Department of Dermatology Dallas TX 75235-6246 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146458947 |
| Mailing Telephone | 2146452400 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2011-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301087723 | MI | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
N3326 | TX | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
N3326 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5939 HARRY HINES BLVD UTSW DEPARTMENT OF DERMATOLOGY |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-6246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679821 | Erika F Trapp | Internal Medicine | 5939 Harry Hines Blvd, Ste 847, Dallas, TX 75235-6235 | 2005-06-15 |
| 1568010684 | Johanna Paul | Nurse Practitioner | 5939 Harry Hines Blvd, Dallas, TX 75390-7134 | 2019-09-02 |
| 1134634405 | Courtney Wong | Pharmacist | 5939 Harry Hines Blvd, Dallas, TX 75235-6246 | 2017-12-08 |
| 1023460953 | Kenji Okumura | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd, Ut Southwestern Transplant Program, Dallas, TX 75390-9212 | 2016-07-02 |
| 1255790796 | Eric Manthuruthil | Physician Assistant | 5939 Harry Hines Blvd, Dallas, TX 75390 | 2016-02-12 |
| 1083092118 | Joseph Chen | Obstetrics & Gynecology | 5939 Harry Hines Blvd, Dallas, TX 75390 | 2015-05-08 |
| 1386031227 | Nicole Oakman | Internal Medicine | 5939 Harry Hines Blvd, Dallas, TX 75390-2400 | 2015-04-17 |
| 1669868014 | Aldeboran Rodriguez | Obstetrics & Gynecology | 5939 Harry Hines Blvd, Dallas, TX 75390-7201 | 2015-04-13 |
| 1366838286 | Jonathan Fitzgerald Hill Jr. | Obstetrics & Gynecology | 5939 Harry Hines Blvd, Dallas, TX 75235 | 2015-04-07 |
| 1386077246 | Virginia Ann Rady | Nurse Practitioner | 5939 Harry Hines Blvd, Prof. Bldg. II, Suite 310, Dallas, TX 75235-6246 | 2013-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326692468 | Westlake Dermatology, Pa | Dermatology | 7515 Greenville Ave Ste 1030, Dallas, TX 75231-3866 | 2019-07-26 |
| 1710465380 | Flora Kim Md Pllc | Dermatology | 4300 Macarthur Ave Ste 100, Dallas, TX 75209-6544 | 2018-08-05 |
| 1447619291 | Blackburn Woolfolk Dermatology, Pllc | Dermatology | 8200 Brookriver Dr Ste N705, Dallas, TX 75247-4052 | 2016-02-22 |
| 1376927707 | Isabel Mary Haugh | Dermatology | 2350 N Stemmons Fwy Ste 4200, Dallas, TX 75207-2700 | 2015-07-15 |
| 1245627082 | Darlene Erica Gou | Dermatology | 4605 Cedar Springs Rd Apt 233, Dallas, TX 75219-1369 | 2015-04-20 |
| 1275927162 | Era Caterina Murzaku | Dermatology | 8230 Walnut Hill Ln Ste 500, Dallas, TX 75231 | 2015-03-27 |
| 1104245505 | Shauna Eve Goldman | Dermatology | 2350 North Stemmons Freeway Suite 4200, Dallas, TX 75390-2045 | 2014-04-14 |
| 1609212158 | Janet Yiwen Li | Dermatology | 8210 Walnut Hill Rd., Prof Off Bldg 1 Ste. 810, Dallas, TX 75231 | 2013-05-10 |
| 1295179190 | Sivaramya Kollipara | Dermatology | 5445 La Sierra Dr Ste 102, Dallas, TX 75231-3464 | 2013-04-22 |
| 1780027052 | Elizabeth Wilder | Dermatology | 411 N Washington Ave Ste 1200, Dallas, TX 75246-1744 | 2013-04-16 |
| Find all providers in DALLAS | ||||
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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.