Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101272726 | VA |
NPI | 1407250913 |
---|---|
Provider Name | Divya Gumber |
First Address | Newport News, VA 23601-1318 |
Second Address | Newport News, VA 23601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2014 |
Last Update Date | 23/11/2021 |