Divya Natesan, MD | |
514 N Brightleaf Blvd Ste 1200, Smithfield, NC 27577-4486 | |
(919) 209-3555 | |
Not Available |
Full Name | Divya Natesan |
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Gender | Female |
Speciality | Radiology - Radiation Oncology |
Location | 514 N Brightleaf Blvd Ste 1200, Smithfield, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861924433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 2022-01230 (North Carolina) | Primary |
Entity Name | Smithfield Radiation Oncology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255360459 PECOS PAC ID: 6709835846 Enrollment ID: O20090210000776 |
Entity Name | Johnston Radiation Oncology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578885406 PECOS PAC ID: 7012048838 Enrollment ID: O20100623000219 |
Entity Name | Rex Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144248683 PECOS PAC ID: 0840109864 Enrollment ID: O20140613001181 |
Entity Name | Rex Radiation Oncology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164880571 PECOS PAC ID: 5294025441 Enrollment ID: O20160601000693 |
Mailing Address | Practice Location Address |
---|---|
Divya Natesan, MD 2301 Erwin Rd, Durham, NC 27705-4699 Ph: (410) 430-4959 | Divya Natesan, MD 514 N Brightleaf Blvd Ste 1200, Smithfield, NC 27577-4486 Ph: (919) 209-3555 |
Mr. Theo Joseph Beach Jr., PA-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 131 E Market St, Smithfield, NC 27577 Phone: 919-934-5441 | |
Cynthia Ann Ballenger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 514 N Brightleaf Blvd Ste 1200, Smithfield, NC 27577 Phone: 919-209-3555 |