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Contact Information

DIVYA KALLURU, MD
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV25304-1228
 Phone: 304-388-2303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DIVYA KALLURU · (Female)

NPI # 1457916751
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2019
Last updated 01/27/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • WV License # 35446
Hospital affiliation(s) Not Available
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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