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Venu Gopal Divya
NPI 1336643857 · on the registry since 2018
Practice
- Address
- 41465 Speckled Alder Ct
Aldie, VA 20105 - Phone
- (267) 275-1219
- Organisation at this address
- Star Rehab Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia