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Contact Information

DIVYA BAPPANAD, MD
1615 DELAWARE ST
LONGVIEW, WA98632-2367
 Phone: 360-414-2730
 Fax: 360-414-2739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DIVYA BAPPANAD · (Female)

NPI Number 1205001823
Status Active
Credentials MD
Entity Individual
Enumeration date 04/24/2008
Last updated 11/11/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 141454
  • WA License # MD60329899
  • WA Medicaid 2027977
Hospital affiliation(s)
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER - (Acute Care)
    400 NE MOTHER JOSEPH PLACE
    VANCOUVER, WA 98668
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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