| Divya R Kini Md Inc | |
|
1500 Southgate Avenue Divya Kini Md Inc Suite 204 Daly City CA 94015 | |
| (650) 755-2192 | |
| (650) 745-0710 |
| Full Name | Divya R Kini Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Southgate Avenue, Daly City, California |
| Authorized Official Name and Position | Divya R Kini (MD) |
| Authorized Official Contact | 6507552192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divya R Kini Md Inc 1500 Southgate Avenue Divya Kini Md Inc Suite 204 Daly City CA 94015 Ph: () - | Divya R Kini Md Inc 1500 Southgate Avenue Divya Kini Md Inc Suite 204 Daly City CA 94015 Ph: (650) 755-2192 |
| NPI Number | 1093861544 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 02/27/2015 |
| Medicare PECOS PAC ID | 4082713482 |
|---|---|
| Medicare Enrollment ID | O20070626000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093861544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Divya R Kini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649354309 PECOS PAC ID: 0143329532 Enrollment ID: I20070626000538 |
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