Dr Divya Lakshmi Selvakumar, PHD, RD | |
8405 Pamela Way, Laurel, MD 20723-1099 | |
(443) 761-9890 | |
Not Available |
Full Name | Dr Divya Lakshmi Selvakumar |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 8405 Pamela Way, Laurel, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619477478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DI100000836 (District Of Columbia) | Secondary |
133V00000X | Dietitian, Registered | DX4011 (Maryland) | Primary |
Provider Name | Divine Diets Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629829262 PECOS PAC ID: 1850732827 Enrollment ID: O20240509000016 |
Mailing Address | Practice Location Address |
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Dr Divya Lakshmi Selvakumar, PHD, RD 8405 Pamela Way, Laurel, MD 20723-1099 Ph: (443) 761-9890 | Dr Divya Lakshmi Selvakumar, PHD, RD 8405 Pamela Way, Laurel, MD 20723-1099 Ph: (443) 761-9890 |
Mrs. Janice Kay Murphy, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14205 Park Center Dr, Suite 202, Laurel, MD 20707 Phone: 301-498-9494 | |
Mrs. Ozodimma Nwankwo, MPH, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15712 Dorset Rd Apt T2, Laurel, MD 20707 Phone: 310-505-1936 | |
Susan Testa, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7750 Montpelier Rd, Laurel, MD 20723 Phone: 410-888-9048 | |
Emelie Buell, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 13994 Baltimore Ave Ste 101, Laurel, MD 20707 Phone: 240-636-9849 | |
Ms. Avanelle Candace Thomas, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 8411 Montpelier Dr, Laurel, MD 20708 Phone: 301-957-8337 | |
Kayla Emma Meixner, RD Dietitian Medicare: Medicare Enrolled Practice Location: 13994 Baltimore Ave Ste 101, Laurel, MD 20707 Phone: 240-636-9849 | |
Mrs. Chetna Nilesh Kansangra, LD Dietitian Medicare: Medicare Enrolled Practice Location: 414 Main St, Laurel, MD 20707 Phone: 301-802-3922 Fax: 301-498-4444 |