Dr Venu Divi, MD is a medicare enrolled "Otolaryngology" physician in San Pedro, California. His current practice location is
350 W 5th St Ste 209, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at
(310) 521-6386.
Dr Venu Divi is licensed to practice in California (license number C55612) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245390228.
Physician's Profile
| Full Name | Dr Venu Divi |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 350 W 5th St Ste 209, San Pedro, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Venu Divi attended and graduated from in
NPI Data:
- NPI Number: 1245390228
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 06/13/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Venu Divi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245390228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | C55612 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Venu Divi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Venu Divi, MD
21320 Hawthorne Blvd, Suite 119,
Torrance, CA 90503-5606
Ph: (310) 540-2111 | Dr Venu Divi, MD
350 W 5th St Ste 209,
San Pedro, CA 90731-2752
Ph: (310) 521-6386 |
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