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1730533373

NPI Code Detail

MEDICARE: DIVYA REDDY NALLAPURAM MD

MEDICARE: DIVYA REDDY NALLAPURAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01083047A	IN
2	208M00000X	Hospitalist Physician	56827	KY
3	208M00000X	Hospitalist Physician	01083047A	IN
4	208M00000X	Hospitalist Physician	35.141532	OH

General Provider Information

NPI Number	:	1730533373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIVYA REDDY NALLAPURAM MD

Provider Business Mailing Address
First Line	:	2260 MORSE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-5858
Country	:	US
Telephone Number	:	614-702-7899
Fax Number	:	614-706-1570

Provider Business Practice Location Address
First Line	:	2260 MORSE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-5858
Country	:	US
Telephone Number	:	614-702-7899
Fax Number	:	614-706-1570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2016
Last Update Date	:	02/24/2026

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Directions to “ DIVYA REDDY NALLAPURAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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